Healthcare Provider Details

I. General information

NPI: 1699302166
Provider Name (Legal Business Name): SWAY PENG CHEN MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST. GRB-7-730
BOSTON MA
02114
US

IV. Provider business mailing address

15 PARKMAN ST # 5
BOSTON MA
02114-3117
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-2000
  • Fax:
Mailing address:
  • Phone: 617-726-2426
  • Fax: 617-724-5997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number1027191
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: