Individual
TIN M CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
913 MAIN AVE, PASSAIC, NJ 07055-8540
(973) 458-8000
(973) 458-8425
Mailing address
913 MAIN AVE, PASSAIC, NJ 07055-8540
(973) 458-8000
(973) 458-8425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00201700
NJ
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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