Chang, Alice

Chang, Alice is an individual health care provider with primary practice located at Five Greentree Centre 525 Route 73 North Ste 104, Marlton NJ 08053. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Chang, Alice can be contacted via phone (609) 200-0211.

Contact Information

Primary practice address
Five Greentree Centre 525 Route 73 North Ste 104 Marlton NJ 08053
Phone: (609) 200-0211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD420531 Pennsylvania

Profile Details

NPI number 1811044373
LBN Legal business name Chang, Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jun 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811044373 NPPES
Pennsylvania MEDICAID 101089739
Pennsylvania MEDICAID BETHANNA

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