| Organization Name: | CHUNTUNG CHANGCHIEN MD PA |
| NPI Number: | 1255502092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY CHANGCHIEN (ADMINISTRATOR) |
| Mailing Address: | 8824 Cunningham Dr Suite E Berwyn Heights |
| State: | MD US |
| Postal Code: | 207402338 |
| Phone Number: | 3013455311 |
| Fax Number: | 3019825065 |
| NPI Enumeration Date: | 03/20/2008 |
| NPI Last Update Date: | 03/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0018852 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |