Provider Demographics
NPI:1386858926
Name:HSU, CHEN STEPHEN (PHD, DMD)
Entity type:Individual
Prefix:DR
First Name:CHEN
Middle Name:STEPHEN
Last Name:HSU
Suffix:
Gender:M
Credentials:PHD, DMD
Other - Prefix:DR
Other - First Name:STEPHEN
Other - Middle Name:C
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, DMD
Mailing Address - Street 1:1409 FORT WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-4009
Mailing Address - Country:US
Mailing Address - Phone:215-643-0363
Mailing Address - Fax:215-646-2191
Practice Address - Street 1:1409 FORT WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-4009
Practice Address - Country:US
Practice Address - Phone:215-643-0363
Practice Address - Fax:215-646-2191
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-020390L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice