Provider Demographics
NPI:1336188549
Name:CHEN, TIMOTHY H (MD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:H
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:ONE CAPITAL WAY RADIATION ONCOLOGY DEPT.
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
Mailing Address - Country:US
Mailing Address - Phone:609-303-4244
Mailing Address - Fax:
Practice Address - Street 1:ONE CAPITAL WAY RADIATION ONCOLOGY DEPT
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-5227
Practice Address - Country:US
Practice Address - Phone:609-303-4244
Practice Address - Fax:609-303-4156
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA076448002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3477072OtherAETNA USHC
NJ6605982OtherCIGNA
NJP00062064OtherRAILROAD MEDICARE
NJ2283199000OtherAMERIHEALTH
NJ0010995Medicaid
NJP3070691OtherOXFORD
NJG73357Medicare UPIN
NJ6605982OtherCIGNA