MEDICARE: DR. CHAO CHEN O.M.D.

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
1	171100000X	Acupuncturist	508	FL

General Provider Information

NPI Number	:	1205894383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAO CHEN O.M.D.

Provider Business Mailing Address
First Line	:	1930 E SUNRISE BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-1477
Country	:	US
Telephone Number	:	954-761-7115
Fax Number	:	954-761-7113

Provider Business Practice Location Address
First Line	:	1930 E SUNRISE BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-1477
Country	:	US
Telephone Number	:	954-761-7115
Fax Number	:	954-761-7113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. CHAO CHEN O.M.D.” Practice Location

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