Organization
PEDIATRIC ASSOCIATES OF MALDEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEN LAN CHANG MD (PRESIDENT)
(781) 322-5101
Entity
Organization
Contact information
Practice address
105 COMMERCIAL ST, MALDEN, MA 02148-5509
(781) 322-5101
(781) 322-5820
Mailing address
105 COMMERCIAL ST, MALDEN, MA 02148-5509
(781) 322-5101
(781) 322-5820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
683054
TUFFY HEALTH PLAN
MA
05
—
9785973
—
MA
01
—
M17324
BCBS
MA
Enumeration date
12/01/2006
Last updated
07/31/2008
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