Chang, Harvey Chung-Der

Chang, Harvey Chung-Der is an individual health care provider with primary practice located at 4301 N Star Way , Modesto CA 95356-9262. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Chang, Harvey Chung-Der can be contacted via phone (209) 577-1200.

Contact Information

Primary practice address
4301 N Star Way Modesto CA 95356-9262
Phone: (209) 577-1200
Fax: (209) 577-6517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C50076 California
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X C50076 California

Profile Details

NPI number 1629074810
LBN Legal business name Chang, Harvey Chung-Der
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Dec 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629074810 NPPES
Massachusetts Other 51897 LICENSE
Massachusetts Other C50076 LICENSE
Massachusetts Other P00037347 LICENSE

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