Individual
JOHN J CHABALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3710 KENNETT PIKE, GREENVILLE MEDICAL CENTER II, GREENVILLE, DE 19807-2157
(302) 623-6333
(302) 623-6306
Mailing address
3710 KENNETT PIKE, GREENVILLE MEDICAL CENTER II, GREENVILLE, DE 19807-2157
(302) 623-6333
(302) 623-6306
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C10001733
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000047701
—
DE
01
—
0084172000
AMERIHEALTH/KEYSTONE
PA
01
—
1155490001
CIGNA
—
01
—
148720
INDEPENDENCE BCBS
PA
01
—
290752
MAMSI
—
01
—
4284697
AETNA/USHC
—
01
—
45427
COVENTRY
DE
Enumeration date
10/13/2005
Last updated
03/11/2014
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