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Individual

STEVEN ROBERT CHESNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2777
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2777

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD022078E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006413830001
PA
01
0045523000
INDPENDENCE BLUE CROSS
01
091435
HIGHMARK BLUE SHIELD
01
1008700
CIGNA
01
4088048
AETNA
01
91435
UNITED HEALTHCARE
Enumeration date
04/10/2006
Last updated
11/17/2016
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