Organization
RANCOCAS OBSTETRICS AND GYNECOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH H CHEN D.O. (OWNER)
(609) 877-8777
Entity
Organization
Contact information
Practice address
220 SUNSET RD, SUITE 1B, WILLINGBORO, NJ 08046-1126
(609) 877-8777
(609) 877-2497
Mailing address
220 SUNSET RD, SUITE 1B, WILLINGBORO, NJ 08046-1126
(609) 877-8777
(609) 877-2497
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060481000
AMERIHEALTH PROVIDER ID
NJ
01
—
0877648000
KEYSTONE PROVIDER ID
NJ
01
—
1K7588
HEALTHNET PROVIDER ID
NJ
01
—
2456024
AETNA PROVIDER ID
NJ
05
—
7903600
—
NJ
01
—
P2039932
OXFORD PROVIDER ID
NJ
Enumeration date
07/01/2006
Last updated
08/22/2020
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