Individual
BENJAMIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, 1-330S PERELMAN CENTER, PHILADELPHIA, PA 19104-4306
(215) 662-2737
(215) 615-3424
Mailing address
3400 CIVIC CENTER BLVD, 1-330S PERELMAN CENTER, PHILADELPHIA, PA 19104-5127
(215) 662-2737
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD055882L
PA
2086S0105X
Surgery of the Hand (Surgery) Physician
MD055882L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015344590004
—
PA
Enumeration date
06/24/2006
Last updated
03/21/2017
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