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NPI Code Detail

MEDICARE: ROBERT CHEN MD

MEDICARE: ROBERT CHEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician204955NY
2207W00000XOphthalmology Physician28MA07864800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487636486
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT CHEN MD
Provider Business Mailing Address
First Line : 171 RAMAPO RD
Second Line :
City : GARNERVILLE
State : NY
Zip : 10923-1552
Country : US
Telephone Number : 845-947-2240
Fax Number : 845-947-2265
Provider Business Practice Location Address
First Line : 171 RAMAPO RD
Second Line :
City : GARNERVILLE
State : NY
Zip : 10923-1552
Country : US
Telephone Number : 845-947-2240
Fax Number : 845-947-2265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 05/02/2014

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Directions to “ ROBERT CHEN MD” Practice Location

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