Individual
DR. DAVOREN ANN CHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3701 MARKET ST, STE 640, PHILADELPHIA, PA 19104-5545
(215) 662-2250
(215) 615-3995
Mailing address
3701 MARKET ST, STE 640, PHILADELPHIA, PA 19104-5545
(215) 662-2250
(215) 615-3995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD463225
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4339117
—
MI
Enumeration date
06/28/2006
Last updated
08/29/2019
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