Provider Demographics
NPI:1366627879
Name:CHEN, JOHN YICHI (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:YICHI
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:750 WASHINGTON ST
Mailing Address - Street 2:TUFTS-NEMC #450
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1526
Mailing Address - Country:US
Mailing Address - Phone:617-636-4600
Mailing Address - Fax:
Practice Address - Street 1:750 WASHINGTON ST
Practice Address - Street 2:TUFTS-NEMC #450
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1526
Practice Address - Country:US
Practice Address - Phone:617-636-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA233230207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology