Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD441424 | PA |
NPI | 1023268919 |
---|---|
Provider Name | Brandon G Chew |
First Address | Monroeville, PA 15146-3500 |
Second Address | Monroeville, PA 15146-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2008 |
Last Update Date | 13/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103064630 | (05) | PA |