Provider Demographics
NPI:1306913033
Name:CHAPMAN, ANDREW E (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:E
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:STE 100
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-4108
Mailing Address - Country:US
Mailing Address - Phone:215-955-8874
Mailing Address - Fax:215-955-2340
Practice Address - Street 1:925 CHESTNUT ST
Practice Address - Street 2:SUITE 320A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4216
Practice Address - Country:US
Practice Address - Phone:215-955-8874
Practice Address - Fax:215-955-2340
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10079700207RH0003X
PAOS006594L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0703249000OtherKEYSTONE PC
10088562OtherKEYSTONE MERCY
NJ0196428Medicaid
468125OtherAETNA USHEALTHCARE
PA0014623310003Medicaid
PA760085D8QMedicare PIN
PAF76377Medicare UPIN
468125OtherAETNA USHEALTHCARE
PA154901PAGMedicare PIN