Individual
ALVARO N CHANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
05
—
000723470
—
PA
01
—
176649
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/09/2005
Last updated
01/22/2008
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