Chang, Won S

Chang, Won S is an individual health care provider with primary practice located at 9910 Roosevelt Blvd , Philadelphia PA 19115-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Chang, Won S can be contacted via phone (215) 658-4669.

Contact Information

Primary practice address
9910 Roosevelt Blvd Philadelphia PA 19115-1705
Phone: (215) 658-4669
Fax: (215) 671-4307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD071181L Pennsylvania

Profile Details

NPI number 1992787618
LBN Legal business name Chang, Won S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 17th, 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 1992787618 NPPES
Pennsylvania MEDICAID 0018183900003
Pennsylvania Other 910876
Pennsylvania Other 1127966
Pennsylvania Other 0811079000
Pennsylvania Other 920006241
Pennsylvania MEDICAID 0018183900001
Pennsylvania Other 0711079000

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