Individual
DR. ALICE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
FIVE GREENTREE CENTRE, 525 ROUTE 73 NORTH STE 104, MARLTON, NJ 08053
(609) 200-0211
Mailing address
970 HADDON AVE UNIT 8774, COLLINGSWOOD, NJ 08108-8038
(609) 200-0211
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD420531
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101089739
—
PA
05
—
BETHANNA
—
PA
Enumeration date
01/05/2007
Last updated
06/07/2023
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