Healthcare Provider Details

I. General information

NPI: 1932173838
Provider Name (Legal Business Name): WILLIAM X CHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 BRANDYWINE DR
ALLISON PARK PA
15101-3370
US

IV. Provider business mailing address

1921 BRANDYWINE DR
ALLISON PARK PA
15101-3370
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-1072
  • Fax:
Mailing address:
  • Phone: 412-367-1072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD052467L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: