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Organization
PEDIATRIC ASSOCIATES OF MALDEN, PC
Active
Organization
PEDIATRIC ASSOCIATES OF MALDEN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN-LAN CHANG M.D. (PRESIDENT)
(781) 322-5101
Entity
Organization
Contact information
Practice address
105 COMMERCIAL ST, MALDEN, MA 02148-5509
(781) 322-5101
(781) 322-5280
Mailing address
105 COMMERCIAL ST, MALDEN, MA 02148-5509
(781) 322-5101
(781) 322-5280
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101241
AETNA
MA
01
—
43430
FALLON
MA
01
—
683054
TUFTS HEALTH PLAN
MA
05
—
9785973
—
MA
01
—
M17324
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/15/2006
Last updated
08/22/2020
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