Wald Chen, Coridalia
Wald Chen, Coridalia is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Wald Chen, Coridalia can be contacted via phone (508) 334-3271.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2021013648 | Missouri |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME135421 | Florida |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 290590 | Massachusetts |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 290590 | Massachusetts |
Profile Details
NPI number | 1588063192 |
---|---|
LBN Legal business name | Wald Chen, Coridalia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2014 |
Last updated | Sep 12th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588063192 | NPPES |
Massachusetts | MEDICAID | 110181113A |
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