Healthcare Provider Details

I. General information

NPI: 1386615292
Provider Name (Legal Business Name): SHU-JEI CHEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEX CHEN

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 BABCOCK BLVD DEPT OF RADIATION ONCOLOGY
PITTSBURGH PA
15237-5815
US

IV. Provider business mailing address

2 HOT METAL ST QUANTUM ONE, N431
PITTSBURGH PA
15203-2348
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-6454
  • Fax: 412-367-6913
Mailing address:
  • Phone: 412-432-5806
  • Fax: 412-432-7691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD045278E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: