Provider Demographics
NPI:1790751097
Name:CHEN, YS DOOLEY (MD)
Entity Type:Individual
Prefix:
First Name:YS
Middle Name:DOOLEY
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:YAT SEN
Other - Middle Name:DOOLEY
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:132 CENTRAL STREET
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035
Mailing Address - Country:US
Mailing Address - Phone:508-543-6306
Mailing Address - Fax:508-543-2976
Practice Address - Street 1:132 CENTRAL ST
Practice Address - Street 2:SUITE 116
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035
Practice Address - Country:US
Practice Address - Phone:508-543-6306
Practice Address - Fax:508-543-2976
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60416208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
714785OtherTUFTS
MA3103200Medicaid
20755OtherHARVARD PILGRIM
J13683OtherBLUE SHIELD
714785OtherTUFTS