Chang, Su-Pen Bobby

Chang, Su-Pen Bobby is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl , Boston MA 02118-2908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Chang, Su-Pen Bobby can be contacted via phone (617) 638-6950.

Contact Information

Primary practice address
1 Boston Medical Ctr Pl Boston MA 02118-2908
Phone: (617) 638-6950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 76235 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 76235 Massachusetts

Profile Details

NPI number 1851344741
LBN Legal business name Chang, Su-Pen Bobby
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Oct 6th, 2020 - about 6 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 1851344741 NPPES
Massachusetts MEDICAID 110051609B

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