Provider Demographics
NPI:1558561803
Name:WHITE, CHASE MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CHASE
Middle Name:MICHAEL
Last Name:WHITE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:7201 RISING SUN AVENUE
Mailing Address - Street 2:EINSTEIN PLAZA RISING SUN
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111
Mailing Address - Country:US
Mailing Address - Phone:215-745-3525
Mailing Address - Fax:215-745-1088
Practice Address - Street 1:7201 RISING SUN AVENUE
Practice Address - Street 2:EINSTEIN PLAZA RISING SUN
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111
Practice Address - Country:US
Practice Address - Phone:215-745-3525
Practice Address - Fax:215-745-1088
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD440836207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology