Individual
DR. JIAN-JUN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
407 S WASHINGTON AVE, SUITE 1, TITUSVILLE, FL 32796-3500
(321) 385-0884
(321) 385-9578
Mailing address
407 S WASHINGTON AVE STE 1, TITUSVILLE, FL 32796-3500
(321) 385-0884
(321) 385-9578
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME93471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276444000
—
FL
01
—
28795
BLUE CROSS BLUE SHIELD
FL
01
—
ME93471
MEDICAL LIC
FL
Enumeration date
08/16/2006
Last updated
02/06/2014
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