Search › Pennsylvania › 208000000X
Alisa Chanchenchop, DO
NPI 1780207761 · on the registry since 2020
Practice
- Address
- 5649 Wynnewood Dr Ste 104
Laurys Station, PA 18059 - Phone
- (610) 262-6641
- Organisation at this address
- Riverside Dermatology, Llc
Lehigh Valley Physician GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 1200 S Cedar Crest Blvd, Allentown, PA
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 208000000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania