Provider Demographics
NPI:1073328910
Name:CHEN, ZHIYUAN
Entity type:Individual
Prefix:
First Name:ZHIYUAN
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 MASSACHUSETTS AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-4062
Mailing Address - Country:US
Mailing Address - Phone:857-869-8786
Mailing Address - Fax:
Practice Address - Street 1:702 MASSACHUSETTS AVE APT 7
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4062
Practice Address - Country:US
Practice Address - Phone:857-869-8786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program