Individual
DR. CHI-KUE TONY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3508 NICHOLSON RD, BETHLEHEM, PA 18020
(484) 241-9579
(610) 882-3510
Mailing address
3508 NICHOLSON RD, BETHLEHEM, PA 18020
(484) 241-9579
(610) 882-3510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD047639L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012959950002
—
PA
01
—
01017401/02344200
CAPITAL BLUE CROSS
PA
01
—
CH038530
HIGHMARK BLUE SHIELD
PA
01
—
P3172646
OXFORD
PA
Enumeration date
06/30/2006
Last updated
08/29/2022
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