Healthcare Provider Details

I. General information

NPI: 1447518535
Provider Name (Legal Business Name): YI FENG CHEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 03/26/2024
Certification Date: 03/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 EMRICK BLVD STE 211
BETHLEHEM PA
18020-8037
US

IV. Provider business mailing address

3101 EMRICK BLVD STE 211
BETHLEHEM PA
18020-8037
US

V. Phone/Fax

Practice location:
  • Phone: 610-954-9260
  • Fax: 610-954-9265
Mailing address:
  • Phone: 610-954-9260
  • Fax: 610-954-9265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number25MA11298200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number281143
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD483111
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: