Individual
DR. WON S CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9910 ROOSEVELT BLVD, PHILADELPHIA, PA 19115-1705
(215) 658-4669
(215) 671-4307
Mailing address
PO BOX 780595, PHILADELPHIA, PA 19178-0595
(800) 331-9294
(812) 962-6425
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD071181L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018183900001
—
PA
05
—
0018183900003
—
PA
01
—
0711079000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0811079000
KEYSTONE 65
PA
01
—
1127966
KEYSTONE MERCY
PA
01
—
910876
BCBS PA
PA
01
—
920006241
RAILROAD MEDICARE
PA
Enumeration date
11/17/2005
Last updated
02/17/2022
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