Pediatric Associates Of Malden, Pc

LBN: Pediatric Associates Of Malden, Pc
Pediatric Associates Of Malden, Pc is an health care organization with primary practice located at 105 Commercial St , Malden MA 02148-5509. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Associates Of Malden, Pc can be contacted via phone (781) 322-5101, or through Chang, Tien-Lan via phone (781) 322-5101.

Contact Information

Primary practice address
105 Commercial St Malden MA 02148-5509
Fax: (781) 322-5280
Website:
Authorized official contact:
Name: Chang, Tien-Lan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1134193097
LBN Legal business name Pediatric Associates Of Malden, Pc
DBA Doing business as
Authorized official Chang, Tien-Lan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134193097 NPPES
Massachusetts Other 43430 FALLON
Massachusetts Other 683054 FALLON
Massachusetts Other M17324 FALLON
Massachusetts Other 101241 FALLON
Massachusetts MEDICAID 9785973 FALLON

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