Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 25004 | NC |
NPI | 1043224504 |
---|---|
Provider Name | Chih-Cheng Frank Chen |
First Address | Wilmington, NC 28401-7757 |
Second Address | Wilmington, NC 28401-7757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
22237 | BCBS (01) | |
8922237 | (05) | NC |
C81338 | (02) |