Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP0504X | Public Medicine | SC007000 | PA |
N | 111NR0200X | Radiology | SC007000 | PA |
N | 213ER0200X | Radiology | SC007000 | PA |
N | 2081S0010X | Sports Medicine | SC007000 | PA |
N | 213ES0000X | Sports Medicine | SC007000 | PA |
Y | 213ES0103X | Foot & Ankle Surgery | SC007000 | PA |
N | 213ES0131X | Foot Surgery | SC007000 | PA |
NPI | 1609438175 |
---|---|
Provider Name | Yujian Chen |
First Address | Harrisburg, PA 17105-8700 |
Second Address | Harrisburg, PA 17104-1619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2019 |
Last Update Date | 30/01/2021 |