Individual
JENNIFER CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC RADIOLOGY, PHILADELPHIA, PA 19104
(215) 590-2564
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC RADIOLOGY, PHILADELPHIA, PA 19104
(215) 590-2564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT214081
PA
2085P0229X
Pediatric Radiology Physician
MT214081
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2017
Last updated
06/23/2022
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