Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | MD046302L | PA |
NPI | 1013374735 |
---|---|
Provider Name | Judith Lynn Chiger |
First Address | Philadelphia, PA 19116-3611 |
Second Address | Philadelphia, PA 19116-3611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2016 |
Last Update Date | 26/02/2020 |