Chang, Theodore T

Chang, Theodore T is an individual health care provider with primary practice located at 319 S Manning Blvd Suite 106, Albany NY 12208-1742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chang, Theodore T can be contacted via phone (518) 438-1019.

Contact Information

Primary practice address
319 S Manning Blvd Suite 106 Albany NY 12208-1742
Phone: (518) 438-1019
Fax: (518) 438-0981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 204809-1 New York

Profile Details

NPI number 1477503936
LBN Legal business name Chang, Theodore T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Feb 7th, 2024 - about 9 months 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 1477503936 NPPES
New York Other 00406922007 BLUE SHIELD NORTHEASTERN
New York Other 1099057 BLUE SHIELD NORTHEASTERN
New York Other P00291584 BLUE SHIELD NORTHEASTERN
New York Other 92950 BLUE SHIELD NORTHEASTERN
New York Other 10002480 BLUE SHIELD NORTHEASTERN
New York Other 24134 BLUE SHIELD NORTHEASTERN

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