Individual
DR. FREDY O CHAPARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE STE 556, WYNNEWOOD, PA 19096-3435
(610) 896-0210
(610) 896-5101
Mailing address
100 E LANCASTER AVE, MOB EAST 556, WYNNEWOOD, PA 19096-3435
(610) 896-0210
(610) 896-5101
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD459512
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103234427001
—
PA
Enumeration date
07/23/2008
Last updated
07/21/2022
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