Provider Demographics
NPI:1801890843
Name:CHESEN, NEIL (MD)
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:
Last Name:CHESEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 PENN AVE
Mailing Address - Street 2:STE 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:STE 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
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD031840E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02327900OtherCAPITAL BLUE CROSS
PA02327900OtherKEYSTONE HEALTH PLAN CENT
PA0011652660004Medicaid
PA039311OtherBLUE SHEILD
PA0057303OtherAETNA
PA875366OtherCLARITY VISION PLAN
PA0195480000OtherINDEPENDENCE BLUE SHIELD
PA27541OtherHLTH AMERICA/ HEALTH ASSU
PA7990026OtherGATEWAY HEALTH PLAN
PA023279000OtherKEYSTONE SENIOR BLUE
PA116122OtherUNISON
PA0057301OtherAETNA
PA02327900OtherCAPITAL BLUE CROSS
PA39311Medicare ID - Type Unspecified
PA875366OtherCLARITY VISION PLAN