Individual
JIANWANG CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1123 58TH ST, APT 2, BROOKLYN, NY 11219
(646) 309-5517
Mailing address
1123 58TH ST, APT 2, BROOKLYN, NY 11219-4526
(646) 309-5517
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
292720
NY
Other
Enumeration date
07/02/2014
Last updated
09/05/2018
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