Individual
MS. TINA H CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
123 SUMMER ST, WORCESTER, WORCESTER, MA 01608-1216
(508) 363-5000
(508) 363-5430
Mailing address
630 PLANTATION ST, WORCESTER, WORCESTER, MA 01605-2038
(508) 852-0600
(508) 368-5530
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
23-011294
NY
363AM0700X
Medical Physician Assistant
Primary
PA4586
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-011294
NEW YORK STATE LICENSE
NY
Enumeration date
11/20/2006
Last updated
03/07/2023
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