Basic Information
Provider Information
NPI: 1467700716
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEN
FirstName: YUEFENG
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 TECH PARK DR
Address2:  
City: JOHNSTOWN
State: PA
PostalCode: 159012515
CountryCode: US
TelephoneNumber: 8144758685
FaxNumber:  
Practice Location
Address1: 1086 FRANKLIN ST
Address2:  
City: JOHNSTOWN
State: PA
PostalCode: 159054305
CountryCode: US
TelephoneNumber: 8145349000
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/16/2012
LastUpdateDate: 02/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XM98486MDN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000XMD046357DCN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000XMD469994PAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RI0011XMD469994PAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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