Provider Demographics
NPI:1487733838
Name:CHANOINE, PIERRE PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:PATRICK
Last Name:CHANOINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 PARRISH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-1814
Mailing Address - Country:US
Mailing Address - Phone:215-629-1771
Mailing Address - Fax:
Practice Address - Street 1:ST CHRITOPHER'S HOSPITAL FOR CHILDREN
Practice Address - Street 2:ERIE AVENUE AT FRONT STREET
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1095
Practice Address - Country:US
Practice Address - Phone:215-427-4715
Practice Address - Fax:215-427-6014
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424788208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
I27072Medicare UPIN
089480Medicare ID - Type Unspecified