Individual
ABIGAIL L CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7300
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT014206
PA
2084N0400X
Neurology Physician
055352
CT
2084N0400X
Neurology Physician
Primary
OS017503
PA
2084N0400X
Neurology Physician
OT014206
PA
Other
Enumeration date
05/17/2011
Last updated
02/11/2021
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