Provider Demographics
NPI:1831223429
Name:CHEN, PEI-JON (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:PEI-JON
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:JOAN
Other - Middle Name:PEI-JON
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:120 CROOKED TREE LN
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2922
Mailing Address - Country:US
Mailing Address - Phone:609-252-4111
Mailing Address - Fax:609-252-6383
Practice Address - Street 1:ROUTE 206 & PROVINCELINE ROAD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08543
Practice Address - Country:US
Practice Address - Phone:609-252-4111
Practice Address - Fax:609-252-6383
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA50175207R00000X
CAA42187207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJA88591Medicare UPIN