Provider Demographics
NPI:1104906908
Name:CHEN, JOY YUNG-CHIA (MD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:YUNG-CHIA
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11125 ROCKVILLE PIKE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3142
Mailing Address - Country:US
Mailing Address - Phone:301-770-0033
Mailing Address - Fax:301-770-0035
Practice Address - Street 1:11125 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 105
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3142
Practice Address - Country:US
Practice Address - Phone:301-770-0033
Practice Address - Fax:301-770-0035
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061483207N00000X
DCMD034830207N00000X
VA0101236289207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG02540A01Medicare PIN
MDG02540A01Medicare PIN