Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD032600E | PA |
Y | 2080P0202X | Pediatric Cardiologist | MD032600E | PA |
NPI | 1235151754 |
---|---|
Provider Name | Alvin J Chin |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 16/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000986372 | (05) | PA |
2005301 | (05) | NJ |
B73856 | (02) |