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1356426431
GORDON Y. W. CHANG
BRYN MAWR, PA
NPI
1356426431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: PA MD062069L)
Enumeration Date
2006-10-26
Last Update Date
2011-09-08
Business Address
Dr. GORDON Y. W. CHANG MD
BRYN MAWR HOSPITAL 130 S. BRYN MAWR AVE.
BRYN MAWR, PA 19010-3121
Phone number: 610-526-4618
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Mailing Address
Dr. GORDON Y. W. CHANG MD
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212
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