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NPI Code Detail

MEDICARE: DR. MICHAEL CHANG MD

MEDICARE:  DR. MICHAEL  CHANG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianME179379FL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1356928717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL CHANG MD
Provider Business Mailing Address
First Line : 2040 MARKET ST APT 1104
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-3369
Country : US
Telephone Number : 626-318-7152
Fax Number :
Provider Business Practice Location Address
First Line : 2040 MARKET ST APT 1104
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-3369
Country : US
Telephone Number : 626-318-7152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 03/04/2026

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Directions to “ DR. MICHAEL CHANG MD” Practice Location

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