Provider Demographics
NPI:1083937163
Name:CHEN, MINCHUN (MD,PHD,L OM)
Entity Type:Individual
Prefix:DR
First Name:MINCHUN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD,PHD,L OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 QUAIL RUN
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6088
Mailing Address - Country:US
Mailing Address - Phone:215-715-5562
Mailing Address - Fax:215-616-4737
Practice Address - Street 1:2540 QUAIL RUN
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-6088
Practice Address - Country:US
Practice Address - Phone:215-715-5562
Practice Address - Fax:215-616-4737
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM000193171100000X
PAAK000983171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist