Individual
JOHN C CHIESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
188 FRIES MILL RD, SUITE N-1, TURNERSVILLE, NJ 08012-2015
(856) 783-2241
(856) 783-2273
Mailing address
188 FRIES MILL RD, SUITE N-1, TURNERSVILLE, NJ 08012-2015
(856) 783-2241
(856) 783-2273
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB02888400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080059974
RAILROAD MEDICARE
NJ
05
—
1283600
—
NJ
Enumeration date
11/30/2006
Last updated
01/19/2017
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