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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023008117 | NPPES |
| New York | MEDICAID | 01022251 |
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