Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD046723L | PA |
NPI | 1053318600 |
---|---|
Provider Name | Steve T Chen |
First Address | Lancaster, PA 17601-2644 |
Second Address | Lancaster, PA 17601-2644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2005 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012811850008 | (05) | PA |
0012811850011 | (05) | PA |
719230KKU | MEDICARE (01) | PA |
F29509 | (02) | PA |
P01983030 | RR MEDICARE (01) | PA |