Individual
DR. MARY CHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1460 BROADWAY, NEW YORK, NY 10036-7329
(248) 953-2936
Mailing address
VIVIHEALTH INC., 1460 BROADWAY, NEW YORK, TX 10036
(833) 866-8484
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
330557
NY
Other
Enumeration date
06/07/2019
Last updated
07/01/2024
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