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Individual

DR. LEE CHADRICK CHUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 S 54TH ST, ICU DEPARTMENT, PHILADELPHIA, PA 19143-1900
(866) 344-0543
(866) 344-3934
Mailing address
118 N OHIO TRL, MEDFORD, NJ 08055-9037
(856) 685-3677

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD439980
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD439980
PA
208000000X
Pediatrics Physician
MD439980
PA

Other

Enumeration date
05/14/2007
Last updated
04/16/2013
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