Provider Demographics
NPI:1649361346
Name:NEIL CHESEN, M.D.P.C.
Entity type:Organization
Organization Name:NEIL CHESEN, M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-372-2222
Mailing Address - Street 1:301 PENN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1128
Mailing Address - Country:US
Mailing Address - Phone:610-372-2222
Mailing Address - Fax:610-372-5537
Practice Address - Street 1:301 PENN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1128
Practice Address - Country:US
Practice Address - Phone:610-372-2222
Practice Address - Fax:610-372-5537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD03184OE174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2084699OtherAETNA