Individual
CHUN S CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 DORCHESTER DR, DALLAS, PA 18612-1401
(570) 552-6195
(570) 552-6020
Mailing address
41 DORCHESTER DR, DALLAS, PA 18612-1401
(570) 552-6195
(570) 552-6020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD032584L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005540540005
—
PA
Enumeration date
09/02/2005
Last updated
03/11/2014
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