Provider Demographics
NPI:1861621021
Name:CHEN, ELBERT TSE-FU (MD)
Entity type:Individual
Prefix:
First Name:ELBERT
Middle Name:TSE-FU
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17TH & CHEW STREET
Mailing Address - Street 2:OB/GYN ADMIN SUITE
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18105-7017
Mailing Address - Country:US
Mailing Address - Phone:610-969-4515
Mailing Address - Fax:610-969-2197
Practice Address - Street 1:17TH & CHEW STREET
Practice Address - Street 2:OB/GYN ADMIN SUITE
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18105-7017
Practice Address - Country:US
Practice Address - Phone:610-969-4515
Practice Address - Fax:610-969-2197
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT196165207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology