Individual
DR. JOSEPH E CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
145 HOSPITAL AVE, SUITE 200, DU BOIS, PA 15801-1462
(814) 375-9200
(814) 375-9980
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-9200
(814) 375-9980
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
19472
MS
208800000X
Urology Physician
Primary
MD038261L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120557
—
MS
05
—
102158812
—
PA
Enumeration date
09/22/2006
Last updated
03/21/2014
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