Provider Demographics
NPI:1033258033
Name:CHEN, WILLIAM YOUNGSON (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:YOUNGSON
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3132 COMMERCE PLACE
Mailing Address - Street 2:SUITE A - 2
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215
Mailing Address - Country:US
Mailing Address - Phone:336-584-9244
Mailing Address - Fax:336-584-1966
Practice Address - Street 1:3132 COMMERCE PLACE
Practice Address - Street 2:SUITE A - 2
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215
Practice Address - Country:US
Practice Address - Phone:336-584-9244
Practice Address - Fax:336-584-1966
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2013-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC336302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD71647Medicare UPIN
NC213982Medicare ID - Type Unspecified