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
Phone: (781) 322-5101
Fax: (781) 322-5820
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255313771 | NPPES |
| Massachusetts | MEDICAID | 3024253 | |
| Massachusetts | Other | 710885 | |
| Massachusetts | Other | J06703 |
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