Individual
DR. CHEUNJU CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 WESTERN MARYLAND PKWY STE 100, HAGERSTOWN, MD 21740-5471
(301) 797-9240
(301) 797-4234
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0067013
MD
2084N0400X
Neurology Physician
MD433371
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013145
HIGHMARK BLUE SHIELD-PA
PA
01
—
2016137
HIGHMARK BLUE SHIELD-MD
PA
01
—
414186500
MARYLAND MEDICAL ASSISTANCE
MD
01
—
92575701
MARYLAND BLUE SHIELD-PPN
MD
01
—
W2660018
MARYLAND BLUE SHIELD-REGIONAL
MD
Enumeration date
02/21/2007
Last updated
06/26/2024
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