Crystal Chang M.D.

NPI 1518253012 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1518253012
Gender Female
Enumeration Date 06/22/2011
Last Updated 06/22/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5501 OLD YORK RD
PHILADELPHIA PA, 19141-3018, US
Phone (215) 456-7943
Fax
Business Location
1114 PINE ST
UNIT 1R
PHILADELPHIA PA, 19107-7014, US
Phone (213) 705-2608
Fax
Toxanomy
Taxonomy Code 390200000X
License State Pennsylvania
License Number MT200191
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According to our database, Crystal Chang M.D. NPI is 1518253012, taxonomy code is 390200000X and license number is MT200191, license state is located at Pennsylvania. Crystal Chang M.D. physically located at 5501 Old York Rd, Philadelphia PA, 19141-3018. NPI Number Crystal Chang M.D. has the Individual type.

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1518253012 NPI number is provided on an as is basis without warranty of any kind. 1518253012 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Chang M.D. are for informational purposes only.