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NPI Code Detail

MEDICARE: MR. CHING-HUA CHEN L.AC., MSTOM, ADS

MEDICARE:  MR. CHING-HUA  CHEN  L.AC., MSTOM, ADS
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
1171100000XAcupuncturist004536-1NY

General Provider Information

NPI Number : 1689969933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHING-HUA CHEN L.AC., MSTOM, ADS
Provider Business Mailing Address
First Line : 180 VAN CORTLANDT PARK S
Second Line : APT 6M
City : BRONX
State : NY
Zip : 10463-2435
Country : US
Telephone Number : 718-406-2315
Fax Number :
Provider Business Practice Location Address
First Line : 3800 PUTNAM AVENUE WEST
Second Line : BRONX ACUPUNCTURE P.C.
City : BRONX
State : NY
Zip : 10463-2435
Country : US
Telephone Number : 718-549-1987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2011
Last Update Date : 10/19/2012

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Directions to “ MR. CHING-HUA CHEN L.AC., MSTOM, ADS” Practice Location

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