Individual
CHEN HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 GREENTREE RD., SUITE C, CHERRY HILL, NJ 08003
(856) 938-7976
Mailing address
505 WALTON AVE., MOUNT LAUREL, NJ 08054-9583
(856) 938-7976
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08691900
NJ
207Q00000X
Family Medicine Physician
M0099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244571
—
NJ
Enumeration date
08/12/2006
Last updated
01/18/2012
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