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Individual

BENJAMIN Y CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5001 US HIGHWAY 30 W STE D, FORT WAYNE, IN 46818-9701
(260) 432-1568
(260) 432-4969
Mailing address
PO BOX 80070, FORT WAYNE, IN 46898-0070
(260) 432-1568
(260) 432-4969

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01065292A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801878616
MI
05
200899030
IN
05
2849038
OH
Enumeration date
11/17/2005
Last updated
03/31/2026
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