Individual
DR. LARRY WILLIAM CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 E MONUMENT ST., THE PARK BUILDING, GROUND FLOOR, BALTIMORE, MD 21287-2100
(410) 955-1725
(443) 287-4173
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D64129
MD
207RI0200X
Infectious Disease Physician
D0064129
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023187800
—
MD
Enumeration date
01/27/2007
Last updated
10/06/2022
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