Provider Demographics
NPI:1255326195
Name:CHANG, TE MING TOMMY (MD)
Entity Type:Individual
Prefix:
First Name:TE MING
Middle Name:TOMMY
Last Name:CHANG
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 1:721 TILGHMAN DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-6063
Mailing Address - Country:US
Mailing Address - Phone:910-892-1550
Mailing Address - Fax:910-892-1992
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200098208600000X
PAMD069369L2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC131J0OtherBLUE CROSS BLUE SHIELD
NCC8967OtherMED COST
NC200200098OtherNC LICENSE
NCP00102817OtherMEDICARE RAIL ROAD
NC89131J0Medicaid
NCH66637Medicare UPIN
NC200200098OtherNC LICENSE