Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 0101038896 | VA |
Y | 207KA0200X | Allergist | D0032303 | MD |
N | 207KA0200X | Allergist | MD13958 | DC |
NPI | 1265581342 |
---|---|
Provider Name | Dr. Betty W Chang |
First Address | Rockville, MD 20852-4908 |
Second Address | Kensington, MD 20895 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 16/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C88853 | (02) |