Individual
GENE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 NORTH 39TH STREET, 4 PHI, PHILADELPHIA, PA 19104
(215) 662-9189
Mailing address
51 NORTH 39TH STREET, 4 PHI, PHILADELPHIA, PA 19104
(215) 662-9189
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD058220L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017558340001
—
PA
Enumeration date
07/05/2006
Last updated
07/18/2018
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