Dr. Edward Chen, MD
Dermatology in Marietta, GA. Individual provider (NPI-1).
NPI number1982133633
StatusActive
Last updated in NPPESFeb 28, 2022
Details
- NPI
- 1982133633
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward Chen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2017
- Certification date
- Feb 28, 2022
- Last updated
- Feb 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | MD.37350 | AL | Yes |
| 207R00000X | Internal Medicine | 125070892 | IL |
Practice location
4800 Olde Towne Pkwy Ste 250Marietta, GA 30068-4428
Phone 770-971-3376
Mailing address
4800 Olde Towne Pkwy Ste 250Marietta, GA 30068-4428
Phone 770-971-3376
Other practice locations
5841 S Maryland Ave
Chicago, IL 60637-1447
Chicago, IL 60637-1447
Phone 773-795-0232
5841 S Maryland Ave Ste Mc7082
Chicago, IL 60637-1465
Chicago, IL 60637-1465
Phone 773-795-0232 · Fax 773-702-2230
500 22nd St S Ste 3500
Birmingham, AL 35233
Birmingham, AL 35233
Phone 205-996-7546
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