Teralyn Ga Ling Chang
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bangor, ME
NPI 1770069643 · NPPES record last updated Jul 13, 2018
Key facts
- NPI
- 1770069643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- PI45614 (ME)
- Practice address
- 1 College Cir
Bangor, ME 04401-2929 - Phone
- (207) 941-7000
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI45614 | ME | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PI45614 | ME | Yes |
Addresses
Primary practice location
1 College Cir
Bangor, ME 04401-2929
Mailing address
1047 Kikeke Ave
Honolulu, HI 96816-1646
Phone (808) 284-1178
Other providers in Bangor, ME
- Centerwell Certified Healthcare Corp.
- Anne Elizabeth Chamberlain Small
- Nicholas Matthew Chamberlain-Nunes
- Michelle Chamberland
- Avian Chien Leong Vincent Chang
- Carol James Cookson Chapman
- Catherine Charette
- Melissa Marie Charette
- Charles H. Gardner, PLLC
- Brianna Rae Charles
All providers in Bangor, ME · Student in an Organized Health Care Education/Training Program in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.