Individual
DR. AVIAN CHIEN LEONG VINCENT CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 STATE ST STE 340, BANGOR, ME 04401-6634
(207) 973-4949
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD24256
ME
208600000X
Surgery Physician
MT207986
PA
2086S0102X
Surgical Critical Care Physician
2020016495
MO
2086S0102X
Surgical Critical Care Physician
MD24256
ME
2086S0102X
Surgical Critical Care Physician
MD470306
PA
2086S0127X
Trauma Surgery Physician
MD24256
ME
Other
Enumeration date
04/02/2015
Last updated
03/10/2022
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