Healthcare Provider Details

I. General information

NPI: 1073872073
Provider Name (Legal Business Name): CATHERINE CHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2012
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PLAINSBORO RD
PLAINSBORO NJ
08536-1913
US

IV. Provider business mailing address

1 PLAINSBORO RD
PLAINSBORO NJ
08536-1913
US

V. Phone/Fax

Practice location:
  • Phone: 609-853-6049
  • Fax: 609-853-7221
Mailing address:
  • Phone: 609-853-6049
  • Fax: 609-853-7221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA09869900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA09869900
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA09869900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: