Individual
NELSON JEN AN CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
96-01574
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22051
BCBS
NC
05
—
2232478
—
NC
05
—
8922051
—
NC
Enumeration date
07/27/2006
Last updated
09/19/2008
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