Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD428938 | PA |
NPI | 1134144660 |
---|---|
Provider Name | Dr. Chadwick R Johr |
First Address | Philadelphia, PA 19104-5545 |
Second Address | Philadelphia, PA 19104-2692 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 20/04/2016 |