Individual
CHELSEY CHACHOUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3467
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT235112
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/15/2023
Last updated
06/03/2025
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