Individual
CORIDALIA WALD CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2021013648
MO
207L00000X
Anesthesiology Physician
Primary
290590
MA
207L00000X
Anesthesiology Physician
ME135421
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
290590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110181113A
—
MA
Enumeration date
08/19/2014
Last updated
09/12/2022
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