Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | D39326 | MD |
NPI | 1083040885 |
---|---|
Provider Name | Clara Chi Chen |
First Address | Bethesda, MD 20892-1180 |
Second Address | Bethesda, MD 20892-1180 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2013 |
Last Update Date | 25/09/2013 |