Provider Demographics
NPI:1952388464
Name:CHEN, JOSEPH MIN (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MIN
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KYONE
Other - Middle Name:MIN
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:371 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-7777
Mailing Address - Country:US
Mailing Address - Phone:510-769-5913
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 1 COAST GUARD ISLAND DRIVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501
Practice Address - Country:US
Practice Address - Phone:510-437-3598
Practice Address - Fax:510-437-3611
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA555492083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine