Healthcare Provider Details

I. General information

NPI: 1972242568
Provider Name (Legal Business Name): VICTORIA YU CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 LINDEN AVE
BALTIMORE MD
21201-4606
US

IV. Provider business mailing address

827 LINDEN AVE
BALTIMORE MD
21201-4606
US

V. Phone/Fax

Practice location:
  • Phone: 410-225-8790
  • Fax:
Mailing address:
  • Phone: 410-225-8790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD495710
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: