Provider Demographics
NPI:1124219506
Name:CHIANG, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:CHIANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA238827207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042297845OtherPHCS/MULTI-PLAN
499016OtherTUFTS HEALTH CARE
9798359OtherAETNA
042297845OtherTRICARE
MA1124219506OtherNHP
042297845OtherUNITED HEALTH CARE
MA1100836977AMedicaid
MAAA147823OtherHARVARD PILGRIM
2134190OtherCIGNA
MA499016OtherTUFTS AND MEDICARE PREFERRED
1124219506OtherFALLON
042297845OtherFIRST HEALTH/COVENTRY
MAJ44705OtherBCBSMA
1124219506OtherFALLON