NPI 1104052364

Bophany Chea, MD

Practitioner Pediatrics Physician Frederick, MD

Practice location

Address: 87 Thomas Johnson Dr STE 101, Frederick, MD 21702-4427
Phone: (301) 694-0606
Fax: (301) 662-6928

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence D72552 (MD)

Other Pediatrics providers in Maryland →

Registry record

NPI: 1104052364
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jun 2009
Record last updated: 8 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.