Individual
LAURA M CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6235
(978) 630-6353
Mailing address
29 UNION SQ, GARDNER, MA 01440-3053
(978) 632-7383
(978) 632-9261
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
156506
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3180514
—
MA
Enumeration date
01/27/2006
Last updated
10/12/2011
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