Individual
DR. CHONG S CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-5358
(419) 294-3221
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-5358
(419) 294-3221
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-040362
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337773
—
OH
Enumeration date
07/11/2005
Last updated
08/15/2008
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