Healthcare Provider Details

I. General information

NPI: 1932102258
Provider Name (Legal Business Name): JEFFREY H CHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WESCOTT DR STE 302
FLEMINGTON NJ
08822-4600
US

IV. Provider business mailing address

1100 WESCOTT DR STE 302
FLEMINGTON NJ
08822-4600
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-6464
  • Fax: 908-788-6459
Mailing address:
  • Phone: 908-788-6464
  • Fax: 908-788-6459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101235753
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: