Organization
CENTERHEALTH MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAN TAN CHANG MD (MANAGER)
(718) 578-1318
Entity
Organization
Contact information
Practice address
3808 UNION ST STE 3K, FLUSHING, NY 11354-5670
(718) 578-1318
Mailing address
14000 E 980 NORTH RD, GEORGETOWN, IL 61846-7511
(718) 578-1318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2019
Last updated
06/30/2019
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