Individual
PHILIP CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6303
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6303
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MC0389507A
MA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME82004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026988-00
—
FL
Enumeration date
03/20/2008
Last updated
01/13/2012
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