Provider Demographics
NPI:1043224504
Name:CHEN, CHIH-CHENG FRANK (MD)
Entity Type:Individual
Prefix:
First Name:CHIH-CHENG
Middle Name:FRANK
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 WELLINGTON AVENUE
Mailing Address - Street 2:WILMINGTON NEUROLOGY CLINIC
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7757
Mailing Address - Country:US
Mailing Address - Phone:910-395-5521
Mailing Address - Fax:910-350-1123
Practice Address - Street 1:1608 WELLINGTON AVENUE
Practice Address - Street 2:WILMINGTON NEUROLOGY CLINIC
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7757
Practice Address - Country:US
Practice Address - Phone:910-395-5521
Practice Address - Fax:910-350-1123
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC250042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
22237OtherBCBS
NC8922237Medicaid
202566Medicare ID - Type Unspecified
22237OtherBCBS