Healthcare Provider Details

I. General information

NPI: 1174502504
Provider Name (Legal Business Name): CYNTHIA XINYUE LIU-CHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: XINYUE LIU-CHEN MD

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 07/22/2023
Certification Date: 07/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HITCHCOCK WAY. DEPT OF INTERNAL MEDICINE, DARTMOUTH HITCHCOCK CLINICS
MANCHESTER NH
03104
US

IV. Provider business mailing address

100 HITCHCOCK WAY. DEPT OF INTERNAL MEDICINE, DARTMOUTH HITCHCOCK CLINICS
MANCHESTER NH
03104
US

V. Phone/Fax

Practice location:
  • Phone: 603-695-2600
  • Fax: 603-308-1470
Mailing address:
  • Phone: 603-695-2600
  • Fax: 603-308-1470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number242474
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number242474
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number24027
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: