Individual
RICHARD W CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10721 MAIN ST, SUITE 2500, FAIRFAX, VA 22030-6914
(703) 229-4455
(703) 229-4454
Mailing address
10721 MAIN ST, SUITE 2500, FAIRFAX, VA 22030-6907
(703) 229-4455
(703) 229-4454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101052553
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110153972
RR MEDICARE
—
05
—
5812372
—
VA
Enumeration date
08/04/2006
Last updated
10/01/2010
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