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Individual

JONATHAN CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4800 SAND POINT WAY NE, 2.820, SEATTLE, WA 98105-3901
(206) 987-5759
(206) 987-3839
Mailing address
4800 SAND POINT WAY NE, 2.820, SEATTLE, WA 98105-3901
(206) 987-5159
(206) 987-3839

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60351835
WA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD60351835
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073377
NJ
05
02242175
NY
05
8392706
NJ
01
W13551
EMPIRE MEDICARE
NY
Enumeration date
10/09/2006
Last updated
07/29/2013
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