Organization
VIPO WAYNE NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLAND CHEN MD (OWNER)
(347) 405-8160
Entity
Organization
Contact information
Practice address
516 HAMBURG TPKE STE 5, WAYNE, NJ 07470-2063
(347) 405-8160
(347) 405-8161
Mailing address
516 HAMBURG TPKE STE 5, WAYNE, NJ 07470-2063
(347) 405-8160
(347) 405-8161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08957700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08957700
NEW JERSEY LICENSE
NJ
Enumeration date
01/10/2017
Last updated
01/10/2017
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