MEDICARE: EMY 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	207Q00000X	Family Medicine Physician	264725	MA

General Provider Information

NPI Number	:	1437531332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMY CHEN MD

Provider Business Mailing Address
First Line	:	2110 DORCHESTER AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02124-5628
Country	:	US
Telephone Number	:	617-506-4970
Fax Number	:	617-474-3820

Provider Business Practice Location Address
First Line	:	2110 DORCHESTER AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02124-5628
Country	:	US
Telephone Number	:	617-506-4970
Fax Number	:	617-474-3820

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

Provider Enumeration Date	:	06/26/2015
Last Update Date	:	06/29/2015

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Directions to “ EMY CHEN MD” Practice Location

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