Basic Information
| Provider Information | |||||||||
| NPI: | 1649470683 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHEN | ||||||||
| FirstName: | MAGGIE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2360 MCKEE RD | ||||||||
| Address2: | STE #10 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951161618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087297128 | ||||||||
| FaxNumber: | 4087294125 | ||||||||
| Practice Location | |||||||||
| Address1: | 2360 MCKEE RD | ||||||||
| Address2: | STE #10 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951161618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087297128 | ||||||||
| FaxNumber: | 4087294125 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2007 | ||||||||
| LastUpdateDate: | 06/20/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | A113157 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.