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Individual

DR. ANDREW CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 457-1500
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD17195
RI
208D00000X
General Practice Physician
35.127042
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/11/2013
Last updated
07/31/2020
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