Individual
ALEXIS HEATHER CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3395
(845) 542-1734
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA7234
MA
363AS0400X
Surgical Physician Assistant
PA7234
—
Other
Enumeration date
10/15/2019
Last updated
11/05/2019
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