Individual
CUCKOO CHOUDHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 CHESTNUT ST, PHILA, PA 19107-3612
(215) 955-8900
(215) 955-5245
Mailing address
132 S 10TH ST, 480 MAIN BUILDING, PHILA, PA 19107-5244
(215) 955-8900
(215) 955-5245
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD063160L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017883990001
—
PA
05
—
8134103
—
NJ
Enumeration date
03/20/2006
Last updated
10/28/2024
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