Individual
DR. JOHN CHUN-LU CHANG
Active
Individual
DR. JOHN CHUN-LU CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD425419
PA
207YP0228X
Pediatric Otolaryngology Physician
MD425419
PA
207YS0123X
Facial Plastic Surgery Physician
MD425419
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD425419
PA
207YX0901X
Otology & Neurotology Physician
MD425419
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101236084 0001
—
PA
01
—
120420405
DEPT OF LABOR
PA
01
—
1544525
GATEWAY
PA
01
—
161083
UNISON
PA
01
—
2129690
MAMSI
PA
01
—
2138338
FIRST HEALTH
PA
01
—
25-1716306
INTERGROUP
PA
01
—
3698774
AETNA HMO
PA
01
—
426713
HEALTH AMERICA
PA
01
—
50044493
CAPITAL BLUECROSS
PA
01
—
7615333
AETNA NON-HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
CH1658644
HIGHMARK BLUE SHIELD
PA
01
—
G920-0039/647200-02
CAREFIRST
PA
01
—
MD425419
LICENSE
PA
01
—
P00222626
RAILROAD MEDICARE
PA
Enumeration date
06/16/2005
Last updated
03/07/2023
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