Doctor Name: | DR. WELLINGTON CHEN |
NPI Number: | 1821085564 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME30555 |
Business Practice Address: | 3530 Fruitville Rd Sarasota, FL - 342379026 |
Business Phone Number: | 9415528808 |
Business Fax Number: | 9415528805 |
Mailing Address: | 3530 Fruitville Rd, SARASOTA |
State: | FL |
Postal Code: | 342379026 |
Phone Number: | 9415528808 |
Fax Number: | 9415528805 |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 02/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME30555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |