Abigail L Chua, D.O.
Psychiatry & Neurology, Neurology in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1821381385
StatusActive
Last updated in NPPESFeb 11, 2021
Details
- NPI
- 1821381385
- Entity type
- Individual (NPI-1)
- Name
- Abigail L Chua
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2011
- Certification date
- Feb 11, 2021
- Last updated
- Feb 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | OS017503 | PA | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | OT014206 | PA | |
| 207R00000X | Internal Medicine | OT014206 | PA | |
| 2084N0400X | Psychiatry & Neurology, Neurology | 055352 | CT |
Practice location
1000 E Mountain BlvdWilkes Barre, PA 18711-0027
Phone 570-808-7300
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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