Individual
ALEENA HAESEON CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
833 CHESTNUT ST STE 701, PHILADELPHIA, PA 19107-4409
(215) 955-6180
Mailing address
833 CHESTNUT ST STE 701, PHILADELPHIA, PA 19107-4409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018363
PA
Other
Enumeration date
12/21/2017
Last updated
10/09/2019
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