Healthcare Provider Details

I. General information

NPI: 1841642634
Provider Name (Legal Business Name): SARAH E CHEN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH E MOROSI

II. Dates (important events)

Enumeration Date: 07/06/2016
Last Update Date: 12/15/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 VOLVO PKWY STE 100
CHESAPEAKE VA
23320-1621
US

IV. Provider business mailing address

11761 ROCK LANDING DR STE 8
NEWPORT NEWS VA
23606-4235
US

V. Phone/Fax

Practice location:
  • Phone: 757-548-0076
  • Fax: 757-548-1652
Mailing address:
  • Phone: 757-232-8769
  • Fax: 757-232-8875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0102206369
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5101022449
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102206369
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: