Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 39375 | CO |
NPI | 1033237284 |
---|---|
Provider Name | Hua Judy Chen |
First Address | Denver, CO 80219-5501 |
Second Address | Thornton, CO 80229-4374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 18/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
74757091 | (05) | CO |
H48701 | (02) |