# ALVARO N. CHANGCO, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508992553
- **Authorized official:** DR. ALVARO N CHANGCO M.D. (PRESIDENT)
- **Authorized official phone:** (724) 945-6128

## Contact information

- **Practice address:** \#14 ROUTE 917, COKEBURG, PA 15324
- **Practice address phone:** (724) 945-6128
- **Practice address fax:** (724) 945-6252
- **Mailing address:** PO BOX 232, COKEBURG, PA 15324-0232
- **Mailing address phone:** (724) 945-6128
- **Mailing address fax:** (724) 945-6252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD035890L | PA | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 01/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1937559 | BLUE SHIELD | PA |