Individual
DARIA CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134
(215) 831-1100
Mailing address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD439615
PA
207R00000X
Internal Medicine Physician
MT190685
PA
208000000X
Pediatrics Physician
MD439615
PA
Other
Enumeration date
06/05/2007
Last updated
12/18/2024
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