Provider Demographics
NPI:1992910475
Name:BELL-CHEDDAR, YOLANDEE RENA
Entity type:Individual
Prefix:DR
First Name:YOLANDEE
Middle Name:RENA
Last Name:BELL-CHEDDAR
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:YOLANDEE
Other - Middle Name:RENA
Other - Last Name:BELL-CHEDDAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:160 E ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-1011
Mailing Address - Country:US
Mailing Address - Phone:215-427-4820
Mailing Address - Fax:215-427-4822
Practice Address - Street 1:160 E ERIE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1011
Practice Address - Country:US
Practice Address - Phone:215-427-4820
Practice Address - Fax:215-427-4822
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4491412080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA23-2290323OtherEMPLOYER IDENTIFICATION N