Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD431167 | PA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD431167 | PA |
NPI | 1891816229 |
---|---|
Provider Name | Dr. Michael C Chao |
First Address | Bryn Mawr, PA 19010-3118 |
Second Address | Bryn Mawr, PA 19010-3118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 11/07/2007 |