Chang, Gordon Y. W.

Chang, Gordon Y. W. is an individual health care provider with primary practice located at Bryn Mawr Hospital 130 S. Bryn Mawr Ave., Bryn Mawr PA 19010-3121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Chang, Gordon Y. W. can be contacted via phone (610) 526-4618.

Contact Information

Primary practice address
Bryn Mawr Hospital 130 S. Bryn Mawr Ave. Bryn Mawr PA 19010-3121
Phone: (610) 526-4618
Fax: (610) 526-9897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD062069L Pennsylvania

Profile Details

NPI number 1356426431
LBN Legal business name Chang, Gordon Y. W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Sep 8th, 2011 - about 14 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 1356426431 NPPES
Kentucky MEDICAID 64072739
Kentucky MEDICAID 02753551
Kentucky MEDICAID 1717103
Kentucky MEDICAID 001684017
Kentucky MEDICAID 6275001

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