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NPI Code Detail

MEDICARE: GINA CHEN

MEDICARE: GINA 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
1183500000XPharmacist0202222184VA
2183500000XPharmacist29902MD

General Provider Information

NPI Number : 1689402596
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA CHEN
Provider Business Mailing Address
First Line : 4000 GARDEN CITY DR
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2418
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 GARDEN CITY DR
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2418
Country : US
Telephone Number : 571-287-1769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2024
Last Update Date : 08/05/2024

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Directions to “ GINA CHEN ” Practice Location

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