Alisa Chanchenchop, DO
NPI #1780207761 in Laurys Station, Pennsylvania
Provider Information
- NPI Number
- 1780207761
- Entity Type
- Individual
- Name
- Alisa Chanchenchop, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- DO
- Enumeration Date
- May 25, 2020
- Last Updated
- Sep 5, 2023
Practice Location
- Address
- 5649 WYNNEWOOD DR STE 104
- City
- Laurys Station
- State
- Pennsylvania
- ZIP Code
- 18059-1124
- Phone
- (610) 262-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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