Doctor Name: | DR. GREGORY CHIANG |
NPI Number: | 1801019526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 40QA01045800 |
Business Practice Address: | 216 Tingley Ln Sports Performance Pt Edison, NJ - 088201479 |
Business Phone Number: | 9088348800 |
Business Fax Number: | 9088348801 |
Mailing Address: | 2512 Lindsley Rd, BRIDGEWATER |
State: | NJ |
Postal Code: | 088073509 |
Phone Number: | 9082529909 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 02/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 40QA01045800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |