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NPI Code Detail

MEDICARE: JENNY CHEN

MEDICARE: JENNY 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
1152W00000XOptometristTA2963MD

General Provider Information

NPI Number : 1245010727
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY CHEN
Provider Business Mailing Address
First Line : 8614 WESTWOOD CENTER DR FL 9
Second Line :
City : VIENNA
State : VA
Zip : 22182-2442
Country : US
Telephone Number : 703-847-8899
Fax Number :
Provider Business Practice Location Address
First Line : 13505 CONNECTICUT AVE
Second Line :
City : ASPEN HILL
State : MD
Zip : 20906-2912
Country : US
Telephone Number : 301-438-0555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2023
Last Update Date : 11/06/2023

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Directions to “ JENNY CHEN ” Practice Location

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