CHUNGUANG CHEN MD
Physician/surgeon


Address: 51 Fern Pl, Berkley Heights, NJ 07922

CHUNGUANG CHEN MD (Credential# 550637) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 17, 2005. The license expiration date date is December 31, 2005. The license status is INACTIVE.

Business Overview

CHUNGUANG CHEN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033038. The credential type is physician/surgeon. The effective date is March 17, 2005. The expiration date is December 31, 2005. The business address is 51 Fern Pl, Berkley Heights, NJ 07922. The current status is inactive.

Basic Information

Licensee Name CHUNGUANG CHEN MD
Credential ID 550637
Credential Number 1.033038
Credential Type Physician/Surgeon
Business Address 51 Fern Pl
Berkley Heights
NJ 07922
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-06-18
Effective Date 2005-03-17
Expiration Date 2005-12-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
164000 CSP.0021298 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 - 2000-02-28 INACTIVE

Office Location

Street Address 51 FERN PL
City BERKLEY HEIGHTS
State NJ
Zip Code 07922

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Gordon W Safely · Edwards & Kelcey Inc 83 Chaucer Dr, Berkeley Hgts, NJ 07922 Professional Engineer 1987-04-08 ~ 1988-01-31
Leon P Sudrabin 71 Delmore Ave, Berkeley Hgts, NJ 07922 Professional Engineer 1989-03-09 ~ 1990-01-31
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Competitor

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City BERKLEY HEIGHTS
Zip Code 07922
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BERKLEY HEIGHTS

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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