Individual
MR. CHESTER THEODORE MAYERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 WALNUT ST, PHILADELPHIA, PA 19104
(215) 386-3556
Mailing address
5 BUNNING DR, VOORHEES, NJ 08043
(856) 751-2190
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD045493L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01555628
—
PA
01
—
MA28773
MEDICARE
PA
Enumeration date
07/13/2007
Last updated
07/13/2007
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