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NPI Code Detail

MEDICARE: DR. JANE CHEN D.O.

MEDICARE: DR. JANE CHEN D.O.
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
1207Q00000XFamily Medicine Physician102201585VA
2207Q00000XFamily Medicine PhysicianOS013675PA

General Provider Information

NPI Number : 1881696151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANE CHEN D.O.
Provider Business Mailing Address
First Line : 98 WOLF RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-1291
Country : US
Telephone Number : 518-264-9500
Fax Number : 518-731-9119
Provider Business Practice Location Address
First Line : 98 WOLF RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-1291
Country : US
Telephone Number : 518-264-9500
Fax Number : 518-731-9119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 10/06/2020

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Directions to “ DR. JANE CHEN D.O.” Practice Location

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