MEDICARE: DR. MEI-LING WU CHEN 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	208000000X	Pediatrics Physician	0101027680	VA

General Provider Information

NPI Number	:	1508926098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEI-LING WU CHEN M.D.

Provider Business Mailing Address
First Line	:	1104 MILL RDG
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-2157
Country	:	US
Telephone Number	:	703-506-4596
Fax Number	:	703-506-4596

Provider Business Practice Location Address
First Line	:	1104 MILL RDG
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-2157
Country	:	US
Telephone Number	:	703-506-4596
Fax Number	:	703-506-4596

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	01/15/2014

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