Individual
DR. ERIC TIEN YEN CHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BERGEN ST STE 4200, NEWARK, NJ 07103-2425
(973) 972-5672
(973) 972-4486
Mailing address
150 BERGEN ST # H245, NEWARK, NJ 07103-2496
(973) 972-5672
(973) 972-0365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10879800
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA10879800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079465
—
WA
Enumeration date
03/26/2014
Last updated
08/14/2023
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