Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2012-00686 | NC |
N | 207YP0228X | Pediatric Otolaryngology | D0075426 | MD |
Y | 207YP0228X | Pediatric Otolaryngology | ME118621 | FL |
NPI | 1033352174 |
---|---|
Provider Name | Dr. Cynthia Chen |
First Address | Rockland, DE 19732-0191 |
Second Address | Orlando, FL 32806-2946 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2009 |
Last Update Date | 07/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
067135500 | (05) | MD |