Healthcare Provider Details

I. General information

NPI: 1790313187
Provider Name (Legal Business Name): HARRY CHIANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4390 ROUTE 1 STE 100
PRINCETON NJ
08540-5788
US

IV. Provider business mailing address

4390 ROUTE 1 STE 100
PRINCETON NJ
08540-5788
US

V. Phone/Fax

Practice location:
  • Phone: 732-242-3331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number344519
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number25MA12554000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: