Chang, Benjamin Bansun

Chang, Benjamin Bansun is an individual health care provider with primary practice located at 740 High St Ste 2001 , Williamsport PA 17701-3102. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Chang, Benjamin Bansun can be contacted via phone (703) 212-8055.

Contact Information

Primary practice address
740 High St Ste 2001 Williamsport PA 17701-3102
Phone: (703) 212-8055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 1697666 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 169766 New York
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 169766 New York
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD476246 Pennsylvania

Profile Details

NPI number 1023008117
LBN Legal business name Chang, Benjamin Bansun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jan 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023008117 NPPES
New York MEDICAID 01022251

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