Most Relevant Information
Provider Data
| NPI Number: | 1003554601 |
| Provider Name: | CHIA CHEN CHUANG DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2022 |
| Last Updated: | 05/24/2022 |
Provider Practice Location
895 UNION ST STE 12
BANGOR
ME
044013054
Practice Location Phone/Fax
| Phone: | 2079737979 |
| Fax: | 2079479579 |
Provider Mailing Location
43 WHITING HILL RD STE 300
BREWER
ME
044121006
Provider Mailing Phone/Fax
| Phone: | 2079735000 |
| Fax: | 2079735042 |