Individual
DR. PETER D CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
2287 JOHNSON AVE, APT #6F, BRONX, NY 10463-6400
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A150603
CA
2085R0202X
Diagnostic Radiology Physician
A150603
CA
Other
Enumeration date
02/18/2013
Last updated
03/17/2018
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