JOHN HENRY CHIDESTER IV

Dr JOHN HENRY CHIDESTER IV is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1970 from University Of Pennsylvania School Of Medicine.

Contact

254 LANCASTER AVE
SUITE 2
MALVERN
PA
193553087

Tel: 6106445040

JOHN HENRY CHIDESTER IV Information

Npi 1124013586
Pac Id 4284808049
Professional Enrollment Id I20111114000639
Last Name CHIDESTER
First Name JOHN
Middle Name HENRY
Suffix IV
Gender M
Credential
Medical School Name UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE
Graduation Year 1970
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 254 LANCASTER AVE
Line 2 Street Address SUITE 2
Marker Of Address Line 2 Suppression
City MALVERN
State PA
Zip Code 193553087
Phone Number 6106445040
Hospital Affiliation Ccn 1 390153
Hospital Affiliation Lbn 1 PAOLI HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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