Organization
STEPHEN S CHEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET A RASKOWSKY (MANAGER)
(415) 491-1210
Entity
Organization
Contact information
Practice address
1777 BOTELHO DR STE 110, WALNUT CREEK, CA 94596-5083
(925) 934-3536
(925) 934-0672
Mailing address
6114 LA SALLE AVE # 320, OAKLAND, CA 94611-2802
(415) 491-1210
(415) 491-4647
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A107350
CA
Other
Enumeration date
06/14/2018
Last updated
01/08/2020
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