Provider Demographics
NPI:1447227863
Name:CHEN, WENDY YVONNE (MD MPH)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:YVONNE
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5418
Mailing Address - Country:US
Mailing Address - Phone:617-632-3800
Mailing Address - Fax:617-632-1930
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:MAYER 2 DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-3800
Practice Address - Fax:617-632-1930
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81745207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2172304OtherAETNA US HEALTHCARE
2219989OtherCIGNA
J21149OtherINDEMNITY
J21149OtherBC ELECT
61086OtherFALLON COMM HEALTH PLAN
MAJ21149OtherBLUE CROSS BLUE SHIELD
J21149OtherHMO BLUE
14377DFOtherHPHC DFCI ONLY
406556OtherTUFTS
3000418OtherUNITED HEALTH CARE
MA3194540Medicaid
J21149OtherINDEMNITY
G91512Medicare UPIN