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Dr. John H Chidester, MD
Specialist in Malvern, Pennsylvania
NPI 1124013586

John H Chidester is a Specialist based in Malvern, PA. John H Chidester practices in Malvern, PA and has the professional credentials of MD. The NPI Number for John H Chidester is 1124013586 and holds a License No. MD-019797-E (Pennsylvania).

The current practice location address for John H Chidester is 254 W. Lancaster Ave, Malvern, PA and can be reached out via phone at 610-644-5040 and via fax at 610-640-9170.

Location: 254 W. Lancaster Ave, Malvern, PA, 19355-3087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124013586
Provider Name
John H Chidester
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
254 W. Lancaster Ave, Malvern, PA, 19355-3087
Phone Number
610-644-5040
Fax Number
610-640-9170
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3646 01 PA AETNA PROVIDER NUMBER
055590 01 PA PERSONAL CHOICE PROVIDER
02598600 01 PA IDENPENDENCE BLUE CROSS
1754466 01 PA HIGHMARK GROUP ID #
institution
Provider Business Practice Location Address Details
Address
254 W. Lancaster Ave
City
Malvern
State
Pennsylvania
Zip
19355-3087
Phone Number
610-644-5040
Fax Number
610-640-9170
person
Provider Business Mailing Address Details
Address
254 W. Lancaster Ave
City
Malvern
State
Pennsylvania
Zip
19355-3087
Phone Number
610-644-5040
Fax Number
610-640-9170
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD-019797-E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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