Individual
DR. EDWARD CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5590
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-5590
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD448141
PA
2086S0102X
Surgical Critical Care Physician
273137
NY
2086S0127X
Trauma Surgery Physician
273137
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102949620
—
PA
Enumeration date
07/19/2011
Last updated
01/20/2015
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