MEDICARE: CHUNTUNG CHANGCHIEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0018852	MD
2	208D00000X	General Practice Physician	D0018852	MD

General Provider Information

NPI Number	:	1972686368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUNTUNG CHANGCHIEN M.D.

Provider Business Mailing Address
First Line	:	8824 CUNNINGHAM DR STE E
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2338
Country	:	US
Telephone Number	:	301-345-5311
Fax Number	:	301-982-5065

Provider Business Practice Location Address
First Line	:	8824 CUNNINGHAM DR STE E
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2338
Country	:	US
Telephone Number	:	301-345-5311
Fax Number	:	301-982-5065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	09/11/2025

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