Chang, Tien-Lan

Chang, Tien-Lan is an individual health care provider with primary practice located at 105 Commercial St , Malden MA 02148-5509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chang, Tien-Lan can be contacted via phone (781) 322-5101.

Contact Information

Primary practice address
105 Commercial St Malden MA 02148-5509
Fax: (781) 322-5820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 53617 Massachusetts

Profile Details

NPI number 1255313771
LBN Legal business name Chang, Tien-Lan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Aug 4th, 2008 - about 18 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 1255313771 NPPES
Massachusetts MEDICAID 3024253
Massachusetts Other 710885
Massachusetts Other J06703

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