Provider Demographics
NPI:1366494056
Name:CHEN, MARIA ELISABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELISABETH
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11783 ROCK LANDING DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4431
Mailing Address - Country:US
Mailing Address - Phone:757-668-6300
Mailing Address - Fax:757-668-6310
Practice Address - Street 1:11783 ROCK LANDING DR
Practice Address - Street 2:SUITE 202
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4431
Practice Address - Country:US
Practice Address - Phone:757-668-6300
Practice Address - Fax:757-668-6310
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2012-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101053902208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA324936OtherANTHEM
VA541778786OtherTRICARE
VA5692690OtherAETNA
VA600010208OtherCIGNA
VA263427OtherMAMSI
VA541778786OtherTAX ID #
VA14295OtherSENTARA OPTIMA
VA6728782Medicaid
VA863427OtherOPTIMUM CHOICE
VA863427OtherOPTIMUM CHOICE