# IVAN CHEN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992449540
- **Authorized official:** DR. IVAN CHEN MD (PROVIDER)
- **Authorized official phone:** (917) 848-8697

## Contact information

- **Practice address:** 72 MAIN ST, LITTLE FALLS, NJ 07424-1526
- **Practice address phone:** (973) 857-1616
- **Mailing address:** 1 VINE ST, ENGLEWOOD CLIFFS, NJ 07632-2113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2022
- **Last updated:** 04/20/2022