| Doctor Name: | MARY CHEN |
| NPI Number: | 1699827667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | G43612 |
| Business Practice Address: | 640 Masonic Way Belmont, CA - 940021043 |
| Business Phone Number: | 6503426988 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1043, BELMONT |
| State: | CA |
| Postal Code: | 940021043 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2007 |
| NPI Last Update Date: | 03/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G43612 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |