Individual
MS. JENNIFER CHANG - CHING VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
148 N 8TH ST, PHILADELPHIA, PA 19107-2418
(215) 777-5808
(215) 777-5825
Mailing address
PO BOX 22433, NEW YORK, NY 10087-2433
(215) 777-5801
(215) 777-5716
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006237
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006237
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006237
PA
213ES0131X
Foot Surgery Podiatrist
SC006237
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102932319002
—
PA
Enumeration date
06/25/2010
Last updated
10/03/2023
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