Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 432695 | PA |
NPI | 1366449183 |
---|---|
Provider Name | Dr. Ying T Chang |
First Address | Hershey, PA 17033-0850 |
Second Address | Hershey, PA 17033-0850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 22/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102069893 | (05) | PA |