Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0101266686 | VA |
NPI | 1194067280 |
---|---|
Provider Name | Wayne Alan Chen |
First Address | North Chesterfield, VA 23225-4067 |
Second Address | Virginia Beach, VA 23454 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 20/05/2020 |