Individual provider · Type 1 NPI

Evan M. Chidley, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1104595768 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (215) 590-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA062734 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1104595768

Evan M. Chidley, PA-C's National Provider Identifier is 1104595768, issued on Sep 8, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 8, 2021.