Individual
LIZA WAICHUN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 FAIRMOUNT AVE STE 340, TOWSON, MD 21286-8522
(410) 321-9108
(410) 321-9126
Mailing address
515 FAIRMOUNT AVE STE 400, TOWSON, MD 21286-8518
(410) 494-1355
(410) 494-1361
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
D45873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122611900
—
MD
Enumeration date
04/19/2006
Last updated
11/30/2020
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