Individual
CHALA SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 N 49TH ST, FHC FIRST FLOOR, PHILADELPHIA, PA 19139-2718
(215) 472-7291
(215) 472-7296
Mailing address
109 GORDON LN, NORTH WALES, PA 19454-4277
(267) 439-6542
(215) 472-7296
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD042321L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012140840008
DPW PROMISE #
PA
Enumeration date
03/09/2007
Last updated
07/08/2007
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