Individual
MICHAEL CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 UNION AVE STE 905, SYRACUSE, NY 13203-1845
(315) 703-5017
Mailing address
104 UNION AVE STE 905, SYRACUSE, NY 13203-1845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
279202
NY
2085R0202X
Diagnostic Radiology Physician
MD61498807
WA
Other
Enumeration date
11/07/2009
Last updated
08/29/2024
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