Dr SAMUEL KUANGZONG CHEN is a male medical professional, specializing in Urology. He graduated in 1976.
SOVEREIGN MEDICAL GROUP LLC
15-01 BROADWAY ROUTE 4 W
SUITE 1
FAIRLAWN
NJ
074106006
Tel: 2017914544
| Npi | 1508891284 |
| Pac Id | 1456446327 |
| Professional Enrollment Id | I20071008000170 |
| Last Name | CHEN |
| First Name | SAMUEL |
| Middle Name | KUANGZONG |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1976 |
| Primary Specialty | UROLOGY |
| Secondary Specialty 1 | |
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| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Group Practice Pac Id | 1456535392 |
| Number Of Group Practice Members | 46 |
| Line 1 Street Address | 15-01 BROADWAY ROUTE 4 W |
| Line 2 Street Address | SUITE 1 |
| Marker Of Address Line 2 Suppression | |
| City | FAIRLAWN |
| State | NJ |
| Zip Code | 074106006 |
| Phone Number | 2017914544 |
| Hospital Affiliation Ccn 1 | 310108 |
| Hospital Affiliation Lbn 1 | JFK MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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