Individual
DR. TIEN-LAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 COMMERCIAL ST, MALDEN, MA 02148-5509
(781) 322-5101
(781) 322-5820
Mailing address
105 COMMERCIAL ST, MALDEN, MA 02148-5509
(781) 322-5101
(781) 322-5820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53617
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024253
—
MA
01
—
710885
TUFTS HEALTH PLAN
MA
01
—
J06703
BCBS MA
MA
Enumeration date
11/18/2005
Last updated
08/04/2008
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