# TE MING TOMMY CHANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255326195
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 200200098 | NC | — |
| 2086S0127X | Trauma Surgery Physician | MD069369L | PA | Yes |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 10/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 131J0 | BLUE CROSS BLUE SHIELD | NC |
| 01 | — | 200200098 | NC LICENSE | NC |
| 05 | — | 89131J0 | — | NC |
| 01 | — | C8967 | MED COST | NC |
| 01 | — | P00102817 | MEDICARE RAIL ROAD | NC |
