Individual provider · NPI-1
Laura M Chen, MD
Radiology, Diagnostic Radiology · Gardner, MA
NPI number1679544712
StatusActive
Last updated in NPPESOct 12, 2011
Details
- NPI
- 1679544712
- Entity type
- Individual (NPI-1)
- Name
- Laura M Chen
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Last updated
- Oct 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 156506 | MA | Yes |
Practice location
242 Green StGardner, MA 01440-1336
Phone 978-630-6235 · Fax 978-630-6353
Mailing address
29 Union SqGardner, MA 01440-3053
Phone 978-632-7383 · Fax 978-632-9261
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.