Individual
JOAN CHYONG-WEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004731A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
02004731A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
253044
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
02004731A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03111199
—
NY
01
—
0415706
INDEPENDENT HEALTH
NY
Enumeration date
08/17/2006
Last updated
10/02/2015
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