Individual
DR. SHASHA XIAOMO CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-2164
Mailing address
201 LYONS AVE FL 6, NEWARK, NJ 07112-2027
(973) 926-2164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072260
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MB12708500
NJ
Other
Enumeration date
06/25/2018
Last updated
08/07/2025
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