Provider Demographics
NPI:1992932917
Name:CHEN, LOREN (MD)
Entity type:Individual
Prefix:DR
First Name:LOREN
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 OLD MEADOW RD STE 305
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-4330
Mailing Address - Country:US
Mailing Address - Phone:703-717-7278
Mailing Address - Fax:703-717-7279
Practice Address - Street 1:1760 OLD MEADOW RD STE 305
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-4330
Practice Address - Country:US
Practice Address - Phone:703-717-7278
Practice Address - Fax:703-717-7279
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101277526207R00000X
DCMD045574207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0202606Medicaid
PA1023366740001Medicaid
NJ0202606Medicaid