Individual
CLARK JIA-LONG CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD YORK RD # KLEIN101, PHILADELPHIA, PA 19141-3030
(215) 457-4444
(215) 457-7602
Mailing address
5401 OLD YORK RD # KLEIN101, PHILADELPHIA, PA 19141-3030
(215) 457-4444
(215) 457-7602
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT220670
PA
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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