Healthcare Provider Details

I. General information

NPI: 1275424335
Provider Name (Legal Business Name): CHEN-HSIANG KUAN MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BROOKLINE AVE
BOSTON MA
02215-5491
US

IV. Provider business mailing address

7 CHUNG SHAN S RD NATIONAL TAIWAN UNIVERSITY HOSPITAL
TAIPEI TAIWAN
10053
TW

V. Phone/Fax

Practice location:
  • Phone: 617-667-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberTW000565
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: