Individual
MICHAEL KEEWOOK CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-1510
(484) 565-1513
Mailing address
255 W LANCASTER AVE, PAOLI, PA 19301-1763
(484) 565-1510
(484) 565-1513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD477395
PA
208M00000X
Hospitalist Physician
Primary
MD477395
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2019
Last updated
08/01/2022
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