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Organization

JOSEPH J CHANDA MD PA

Active
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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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