Active NPIIndividual providerSole proprietor

Dr. Clark C Chen, MD PHD

Neurological Surgery in Providence, Rhode Island

NPI Number1437149523
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
—
Last updated
May 7, 2024

Clark C Chen is a Neurological Surgery based in Providence, RI. Clark C Chen practices in Providence, RI and has the professional credentials of MD PHD. The NPI Number for Clark C Chen is 1437149523 and holds a License No. 216069 (MA). The current practice location address for Clark C Chen is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-793-9166.

Provider Profile Details

NPI Number
1437149523
Provider Name
Clark C Chen
Credential
MD PHD
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-793-9166
Primary Taxonomy
Neurological Surgery · 207T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 28, 2005
Last Update Date
May 7, 2024
Certification Date
May 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-793-9166
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
Po Box 232410
San Diego, CA 92193-2410
City
San Diego
State
CA
Zip
92193-2410
Phone Number
858-822-4048

License Information

License Number (1)
216069
License State (1)
MA
Taxonomy (1)
Neurological Surgery · 207T00000X
License Number (2)
62432
License State (2)
MN
Taxonomy (2)
Neurological Surgery · 207T00000X
License Number (3)
MD19577
License State (3)
RI
Taxonomy (3)
Neurological Surgery · 207T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Clark C Chen, MD PHD?

The NPI number of Dr. Clark C Chen, MD PHD is 1437149523. It was assigned on October 28, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Clark C Chen, MD PHD?

Dr. Clark C Chen, MD PHD is registered under the primary taxonomy Neurological Surgery (code 207T00000X), licensed in MA under license number 216069.

Where does Dr. Clark C Chen, MD PHD practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-793-9166 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437149523 directly on the NPPES registry website.

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