Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD439761 | PA |
NPI | 1093941510 |
---|---|
Provider Name | Dr. David Ray Chen |
First Address | Philadelphia, PA 19107-6187 |
Second Address | Philadelphia, PA 19107-6187 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2009 |
Last Update Date | 19/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
112611 | MEDICARE GROUP (01) | PA |