Individual
DR. MARK EDWARD CHASTENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE STE 660, LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 896-7550
(610) 896-7914
Mailing address
100 E LANCASTER AVE STE 660, LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 896-7550
(610) 896-7914
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD031663-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052756000
INDEPENDENCA BLUE CROSS
PA
01
—
4089061
AETNA
PA
01
—
CH35689
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/08/2006
Last updated
12/01/2010
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