Individual
CHUN WEN CHEN
Active
Individual
CHUN WEN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME104689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001359200
—
FL
01
—
150ZF
BCBS
FL
01
—
CN077V
MEDICARE PTAN
FL
01
—
CN077W
MEDICARE PTAN
FL
01
—
CN077X
MEDICARE PTAN
FL
01
—
P01667379
RAILROAD MEDICARE
FL
Enumeration date
12/15/2005
Last updated
06/02/2022
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