Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD 019637E | PA |
NPI | 1417040668 |
---|---|
Provider Name | Dr. Jeffrey Scott Chase |
First Address | Horsham, PA 19044-1854 |
Second Address | Horsham, PA 19044-1854 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 25/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C31373 | (02) | PA |