Provider Demographics
NPI:1043264856
Name:CHEN, WEN-HONG (MD)
Entity Type:Individual
Prefix:
First Name:WEN-HONG
Middle Name:
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 1:96 MOHAWK AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07648-2418
Mailing Address - Country:US
Mailing Address - Phone:201-767-3224
Mailing Address - Fax:
Practice Address - Street 1:96 MOHAWK AVE
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07648-2418
Practice Address - Country:US
Practice Address - Phone:201-767-3224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02583900207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0134805Medicaid
NJ050020590OtherRAILROAD MEDICARE
NJ050020590OtherRAILROAD MEDICARE
NJ032901Medicare ID - Type UnspecifiedEMPIRE MEDICARE