Individual
DR. JEFFREY CHIMAHOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1720 W MARKET ST, POTTSVILLE, PA 17901-2141
(570) 622-1910
(570) 622-5030
Mailing address
1720 W MARKET ST, PO BOX 1263, POTTSVILLE, PA 17901-2141
(570) 622-1910
(570) 622-5030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS013721
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102014 S154
GEISINGER HEALTH PLANS
PA
01
—
1879830
HIGHMARK BLUE SHIELD
PA
01
—
50065175
KEYSTONE HEALTH PLANS
PA
01
—
I60474
HEALTH AMERICA
PA
Enumeration date
06/29/2006
Last updated
12/19/2012
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