Individual
EVAN M CHIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3401 CIVIC CENTER BLVD, ATTN: NEWBORN/INFANT INTENSIVE CARE UNIT APP MANAGER, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062734
PA
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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