Individual
DR. JOHN MICHAEL CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 3 W GATES, PHILADELPHIA, PA 19104-4238
(215) 662-3360
Mailing address
3400 SPRUCE ST, 3 W GATES, PHILADELPHIA, PA 19104-4238
(215) 662-3360
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DD 43443
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD045185E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415096100
—
MD
Enumeration date
01/23/2006
Last updated
08/19/2015
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