Individual
DR. BENJAMIN C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-1943
Mailing address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-1943
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD-2687
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03568301
—
HI
Enumeration date
06/14/2006
Last updated
10/29/2007
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