Provider Demographics
NPI:1306065750
Name:CHANG, HENRY HOU J (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HOU J
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:700 GEIPE RD
Mailing Address - Street 2:STE 210
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4147
Mailing Address - Country:US
Mailing Address - Phone:443-451-1600
Mailing Address - Fax:443-451-1619
Practice Address - Street 1:700 GEIPE RD STE 210
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4176
Practice Address - Country:US
Practice Address - Phone:443-451-1600
Practice Address - Fax:443-451-1619
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0065901208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics