Provider Demographics
NPI:1134700685
Name:CHEN, DANIEL H
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
Last Name:CHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 WOODWARD AVE APT 401
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2459
Mailing Address - Country:US
Mailing Address - Phone:908-217-0266
Mailing Address - Fax:
Practice Address - Street 1:3670 WOODWARD AVE APT 401
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2459
Practice Address - Country:US
Practice Address - Phone:908-217-0266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program