MEDICARE: DR. DUCK-KYU 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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD033142L	PA

General Provider Information

NPI Number	:	1689611915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUCK-KYU CHANG MD

Provider Business Mailing Address
First Line	:	361 ALEXANDER SPRING RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-9129
Country	:	US
Telephone Number	:	717-245-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 ALEXANDER SPRING RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-9129
Country	:	US
Telephone Number	:	717-245-5700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/07/2023

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