Individual
DR. JASON CHANH LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 861-8080
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
OP60536808
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS018917
PA
Other
Enumeration date
05/23/2011
Last updated
03/29/2022
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