Provider Demographics
NPI:1174502504
Name:LIU-CHEN, CYNTHIA XINYUE (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:XINYUE
Last Name:LIU-CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:XINYUE
Other - Middle Name:
Other - Last Name:LIU-CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 HITCHCOCK WAY. DEPT OF INTERNAL MEDICINE,
Mailing Address - Street 2:DARTMOUTH HITCHCOCK CLINICS
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104
Mailing Address - Country:US
Mailing Address - Phone:603-695-2600
Mailing Address - Fax:603-308-1470
Practice Address - Street 1:100 HITCHCOCK WAY. DEPT OF INTERNAL MEDICINE,
Practice Address - Street 2:DARTMOUTH HITCHCOCK CLINICS
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104
Practice Address - Country:US
Practice Address - Phone:603-695-2600
Practice Address - Fax:603-308-1470
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242474207Q00000X, 207QG0300X
NH24027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161000580OtherEMPIRE
NY00027829801OtherUNIVERA
NY0005289460001OtherHEALTH NOW
NY0114051OtherINDEPENDENT HEALTH
NY161000580OtherNOVA
NY02845765Medicaid
NY161000580OtherMERITAIN