Doctor Name: | LEI CHEN |
NPI Number: | 1578628806 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD070734L |
Business Practice Address: | 761 Johnsonburg Rd St Marys, PA - 158573480 |
Business Phone Number: | 8148346139 |
Business Fax Number: | 8147813571 |
Mailing Address: | 761 Johnsonburg Rd, ST MARYS |
State: | PA |
Postal Code: | 158573480 |
Phone Number: | 8148346139 |
Fax Number: | 8147813571 |
NPI Enumeration Date: | 12/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | MD070734L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |