| Alice Chang, Md Llc | |
|
525 Route 73 N Suite 104 Marlton NJ 08053 | |
| (609) 200-0211 | |
| Not Available |
| Full Name | Alice Chang, Md Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 525 Route 73 N, Marlton, New Jersey |
| Authorized Official Name and Position | Alice Chang (OWNER) |
| Authorized Official Contact | 6092000211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Chang, Md Llc 970 Haddon Ave Unit 8774 Collingswood NJ 08108-8038 Ph: (609) 200-0211 | Alice Chang, Md Llc 525 Route 73 N Suite 104 Marlton NJ 08053 Ph: (609) 200-0211 |
| NPI Number | 1083309793 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083309793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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