| Doctor Name: | DR. SAM CHEN |
| NPI Number: | 1861772626 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T. |
| License Number: | PT40QA01552700 |
| Business Practice Address: | Univ Of Al Rec 401 5th Ave E Tuscaloosa, AL - 354870001 |
| Business Phone Number: | 2053483904 |
| Business Fax Number: | 2053484908 |
| Mailing Address: | 450 Hamburg Tpke, 401 5th Ave E WAYNE |
| State: | NJ |
| Postal Code: | 074708480 |
| Phone Number: | 9737067620 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT40QA01552700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |