Provider Demographics
NPI:1053324244
Name:CHEN, NEIL T (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:T
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3830 MASTHEAD STREET NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109
Mailing Address - Country:US
Mailing Address - Phone:505-842-8889
Mailing Address - Fax:505-842-8886
Practice Address - Street 1:3830 MASTHEAD STREET NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109
Practice Address - Country:US
Practice Address - Phone:505-842-8889
Practice Address - Fax:505-842-8886
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM96312082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM004678OtherBLUE CROSS BLUE SHIELD
E51296Medicare UPIN