Healthcare Provider Details

I. General information

NPI: 1538694419
Provider Name (Legal Business Name): DAVID CHEN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2017
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 OLD YORK RD FL 2
ELKINS PARK PA
19027-1514
US

IV. Provider business mailing address

PO BOX 788735
PHILADELPHIA PA
19178-8735
US

V. Phone/Fax

Practice location:
  • Phone: 215-886-0440
  • Fax: 215-886-0447
Mailing address:
  • Phone: 215-456-7000
  • Fax: 215-254-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS019715
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: