Individual provider · NPI-1

Myung W Chang, DDS

Oral & Maxillofacial Surgery · Philadelphia, PA

NPI number1356559876
StatusActive
Last updated in NPPESFeb 1, 2017

Details

NPI
1356559876
Entity type
Individual (NPI-1)
Name
Myung W Chang
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
May 18, 2007
Last updated
Feb 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204E00000X Oral & Maxillofacial SurgeryDS041128PAYes

Practice location

3400 Civic Center Blvd
4th Floor, South Pavilion
Philadelphia, PA 19104-5127

Phone 215-662-3580

Mailing address

3400 Civic Center Blvd
4th Floor, South Pavilion
Philadelphia, PA 19104-5127

Phone 215-662-3580

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