Healthcare Provider Details

I. General information

NPI: 1780848796
Provider Name (Legal Business Name): PEGGY GUEY-CHI CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 YORK STREET
NEW HAVEN CT
06510
US

IV. Provider business mailing address

1E-61 SHM PO BOX 208088
NEW HAVEN CT
06520-8088
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-4242
  • Fax:
Mailing address:
  • Phone: 203-785-2478
  • Fax: 203-785-3461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number045705
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: