Individual
DR. MICHAEL AUGUSTUS CHIUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1011 W BALTIMORE PIKE, SUITE 312, WEST GROVE, PA 19390-9446
(610) 869-6851
(610) 869-6852
Mailing address
140 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1421
(484) 530-0205
(484) 530-0209
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OS007186L
PA
Other
Enumeration date
02/10/2006
Last updated
09/21/2020
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