Provider Demographics
NPI:1922145119
Name:CHEN, CELIA SHIN-WEN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:SHIN-WEN
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:CELIA
Other - Middle Name:SHIN-WEN
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:600 NORTH WOLFE STREET
Mailing Address - Street 2:MAUMENEE 127
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287
Mailing Address - Country:US
Mailing Address - Phone:410-955-8679
Mailing Address - Fax:410-614-9240
Practice Address - Street 1:600 N WOLFE STREET MAUMENEE
Practice Address - Street 2:MAUMENEE 127
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-8679
Practice Address - Fax:410-614-9240
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP21340207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology