Individual
JING SELIA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2722 MERRILEE DR, STE 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 573-0880
Mailing address
PO BOX 3650, MERRIFIELD, VA 22116-3650
(703) 698-4483
(703) 573-0880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101241105
VA
2085R0202X
Diagnostic Radiology Physician
D0087550
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101
CAREFIRST BCBS
VA
05
—
3810008984
—
WV
01
—
P00459662
RR MEDICARE
VA
Enumeration date
07/12/2006
Last updated
01/27/2020
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