Individual
DR. JACQUELINE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
141 THOMAS JOHNSON DR STE 170, FREDERICK, MD 21702
(301) 668-9707
(301) 668-4927
Mailing address
141 THOMAS JOHNSON DR, STE 170, FREDERICK, MD 21702-4530
(301) 668-9707
(301) 668-4927
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01634
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
10458
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634
MARYLAND LICENSE
MD
Enumeration date
06/24/2015
Last updated
02/19/2021
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