Individual
CHI VAN DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104
(215) 615-5858
Mailing address
3400 CIVIC CENTER BOULEVARD, 1600 PENN TOWER, PHILADELPHIA, PA 19104
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D28590
MD
207RH0003X
Hematology & Oncology Physician
Primary
MD446398
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209411800
—
MD
Enumeration date
06/26/2006
Last updated
11/05/2012
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