Provider Demographics
NPI:1841239548
Name:CHEN, PETER S (MD)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:S
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1045
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01613-1045
Mailing Address - Country:US
Mailing Address - Phone:978-939-2035
Mailing Address - Fax:978-939-2039
Practice Address - Street 1:14 RICE RD
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:MA
Practice Address - Zip Code:01468-1332
Practice Address - Country:US
Practice Address - Phone:978-939-2035
Practice Address - Fax:978-939-2039
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA319972085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007041OtherNEIGHBORHOOD HEALTH PLAN
MA042477296OtherHEALTH CARE VALUE MANAGEM
MA2025345OtherHEALTHY START
MA24943OtherHARVARD PILGRIM HEALTH PL
MA300069537OtherRAILROAD MEDICARE
MA7998OtherFALLON COMMUNITY HEALTH P
MAM07651OtherBLUE CROSS BLUE SHIELD
MA042477296OtherUNITED HEALTH CARE
MA31997OtherTUFTS HEALTH PLAN
MA40011OtherHEALTH NEW ENGLAND
MA7233OtherCIGNA
MA2025345Medicaid
MA7998OtherFALLON COMMUNITY HEALTH P
MA2025345OtherHEALTHY START