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Individual

WAYNE A CHIEPPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
66 SUNSET STRIP, SUITE 405, SUCCASUNNA, NJ 07876-1345
(973) 927-2525
(973) 927-3249
Mailing address
66 SUNSET STRIP, SUITE 405, SUCCASUNNA, NJ 07876-1345
(973) 927-2525
(973) 927-3249

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00186600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001393891
PA HIGHMARK BLUE SHIELD
PA
01
470036YA8J
MEDICARE
NJ
Enumeration date
07/21/2005
Last updated
01/17/2015
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