Benjamin Bansun Chang MD

NPI 1023008117 - Radiology - 2085R0204X

NPI Details
NPI 1023008117
Gender Male
Enumeration Date 10/28/2005
Last Updated 12/30/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
391 MYRTLE AVE.
SUITE 5
ALBANY NY, 12208-3412, US
Phone (518) 262-5640
Fax (518) 262-9413
Business Location
391 MYRTLE AVE.
SUITE 5
ALBANY NY, 12208-3412, US
Phone (518) 262-5640
Fax (518) 262-5110
Toxanomy
Taxonomy Code 2085R0204X
License State New York
License Number 1697666
Remove 1023008117 NPI Number
 

According to our database, Benjamin Bansun Chang MD NPI is 1023008117, taxonomy code is 2085R0204X and license number is 1697666, license state is located at New York. Benjamin Bansun Chang MD physically located at 391 Myrtle Ave., Albany NY, 12208-3412. NPI Number Benjamin Bansun Chang MD has the Individual type.

Sponsored links

1023008117 NPI number is provided on an as is basis without warranty of any kind. 1023008117 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Bansun Chang MD are for informational purposes only.