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NPI Code Detail

MEDICARE: SHAN-CHIN CHEN MD

MEDICARE: SHAN-CHIN 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
12085R0001XRadiation Oncology Physician274962NY

General Provider Information

NPI Number : 1720217193
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAN-CHIN CHEN MD
Provider Business Mailing Address
First Line : PO BOX 6054
Second Line :
City : SPRING HILL
State : FL
Zip : 34611-6054
Country : US
Telephone Number : 917-599-7578
Fax Number : 800-420-3318
Provider Business Practice Location Address
First Line : 2101 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2910
Country : US
Telephone Number : 718-517-2900
Fax Number : 800-420-3318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2009
Last Update Date : 10/12/2023

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