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NPI Code Detail

MEDICARE: CHALIN CHEN

MEDICARE: CHALIN CHEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI03083900NJ
2183500000XPharmacist055578NY

General Provider Information

NPI Number : 1073917837
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHALIN CHEN
Provider Business Mailing Address
First Line : 30 KINGSLAND RD
Second Line :
City : CLIFTON
State : NJ
Zip : 07014-1904
Country : US
Telephone Number : 973-330-0003
Fax Number :
Provider Business Practice Location Address
First Line : 30 KINGSLAND RD
Second Line :
City : CLIFTON
State : NJ
Zip : 07014-1904
Country : US
Telephone Number : 973-330-0003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2014
Last Update Date : 10/22/2014

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Directions to “ CHALIN CHEN ” Practice Location

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