MEDICARE: EVAN CHEN MD

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	207L00000X	Anesthesiology Physician	MD038468	DC
2	207L00000X	Anesthesiology Physician	D70033	MD
3	207L00000X	Anesthesiology Physician	0101246711	VA
4	207L00000X	Anesthesiology Physician	25MA08947500	NJ

General Provider Information

NPI Number	:	1265646707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVAN CHEN MD

Provider Business Mailing Address
First Line	:	PO BOX 65
Second Line	:
City	:	CONVENT STATION
State	:	NJ
Zip	:	07961-0065
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 MICHIGAN AVE NW
Second Line	:	CHILDREN'S NAT'L MED. CENTER - DEPT. OF ANESTHESIOLOGY
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2916
Country	:	US
Telephone Number	:	216-778-7800
Fax Number	:

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	03/03/2026

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Directions to “ EVAN CHEN MD” Practice Location

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