Myung W Chang
Oral & Maxillofacial Surgeon
3400 Civic Center Blvd 4th Floor, South Pavilion
Philadelphia
, Pennsylvania 19104-5127
Myung W Chang
Oral & Maxillofacial Surgeon
3400 Civic Center Blvd 4th Floor, South Pavilion
Philadelphia
, Pennsylvania 19104-5127
(215) 662-3580
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Myung W Chang
- 3400 Civic Center Blvd 4th Floor, South Pavilion
- Philadelphia, PA
- Zip : 19104-5127
- Phone : (215) 662-3580
Second Address
- Myung W Chang
- 3400 Civic Center Blvd 4th Floor, South Pavilion
- Philadelphia, PA
- Zip : 19104-5127
- Phone : (215) 662-3580
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | DS041128 | PA |
National Provider Identifier
| NPI | 1356559876 |
|---|---|
| Provider Name | Myung W Chang |
| First Address | Philadelphia, PA 19104-5127 |
| Second Address | Philadelphia, PA 19104-5127 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2007 |
| Last Update Date | 01/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.