ALICE CHANG MD LLC NPI 1083309793

NPI Information

  • NPI: 1083309793
  • Provider Name: ALICE CHANG, MD LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 525 ROUTE 73 N
    SUITE 104
    MARLTON, NJ
    ZIP 08053
  • Phone: (609) 200-0211

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NPI Details

ALICE CHANG, MD LLC is an adult mental health clinic center in Marlton, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ALICE CHANG, MD LLC NPI is 1083309793. The provider is registered as an organization entity type.

The provider's business location address is:

525 ROUTE 73 N
SUITE 104
MARLTON, NJ
ZIP 08053
Phone: (609) 200-0211

The provider's authorized official is Alice Chang .
The authorized official title is Owner and has the following contact phone number (609) 200-0211.

The enumeration date for this NPI number is 4/7/2023 and was last updated on 4/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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