Individual
ANTHONY C. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 TELESTAR CT STE 200, FALLS CHURCH, VA 22042-1262
(703) 573-3494
(703) 573-5353
Mailing address
2901 TELESTAR CT., #300, FALLS CHURCH, VA 22042-1261
(703) 591-1688
(703) 591-1445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101047816
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101047816
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031743300
—
DC
01
—
060035108
RAILROAD MEDICARE DC #
DC
01
—
060062638
RAILROAD MEDICARE VA #
VA
05
—
1417951062
—
VA
05
—
251500800
—
MD
Enumeration date
06/10/2005
Last updated
08/26/2021
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