Organization
JOSEPH J CHANDA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JOHN CHANDA M.D. (PRESIDENT)
(321) 724-4010
Entity
Organization
Contact information
Practice address
207 SILVER PALM AVE, MELBOURNE, FL 32901-3143
(321) 724-4010
(321) 722-0442
Mailing address
207 SILVER PALM AVE, MELBOURNE, FL 32901-3143
(321) 724-4010
(321) 722-0442
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME32634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037366400
—
FL
01
—
05392
BCBS OF FLORIDA
FL
01
—
406073261
RAILROAD MEDICARE
—
Enumeration date
05/26/2006
Last updated
11/04/2009
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