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Individual

BERNARD W CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
227 SAINT PAUL PL, 6TH FLOOR, BALTIMORE, MD 21202-2001
(410) 332-9700
(410) 545-4330
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
D0038983
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D0038983
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182171700
MD
01
KG65 / 525674-06
BC / BS OF MD
MD
01
S186 / 0004
BLUECHOICE
MD
Enumeration date
05/26/2006
Last updated
06/16/2010
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