Organization
ALVARO N. CHANGCO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVARO N CHANGCO M.D. (PRESIDENT)
(724) 945-6128
Entity
Organization
Contact information
Practice address
#14 ROUTE 917, COKEBURG, PA 15324
(724) 945-6128
(724) 945-6252
Mailing address
PO BOX 232, COKEBURG, PA 15324-0232
(724) 945-6128
(724) 945-6252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD035890L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1937559
BLUE SHIELD
PA
Enumeration date
02/26/2007
Last updated
01/22/2008
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