| Doctor Name: | GENGYUN WEN |
| NPI Number: | 1215367081 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 280197 |
| Business Practice Address: | 189 Storrs Rd Natchaug Hospital Mansfield Center, CT - 062501683 |
| Business Phone Number: | 8604561311 |
| Business Fax Number: | |
| Mailing Address: | 189 Storrs Rd, Natchaug Hospital MANSFIELD CENTER |
| State: | CT |
| Postal Code: | 062501683 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2013 |
| NPI Last Update Date: | 01/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084B0040X |
| License Number: | 280197 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Behavioral Neurology & Neuropsychiatry |
| Taxonomy Definition: | Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |