Provider Demographics
NPI:1366449183
Name:CHANG, YING T (MD)
Entity Type:Individual
Prefix:DR
First Name:YING
Middle Name:T
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:500 UNIVERSITY DR, HP25
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0850
Mailing Address - Country:US
Mailing Address - Phone:717-531-4751
Mailing Address - Fax:717-531-6139
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS, HP25
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-0850
Practice Address - Country:US
Practice Address - Phone:717-531-4751
Practice Address - Fax:717-531-6139
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA4326952080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102069893Medicaid
PA102069893Medicaid
NC135P8OtherBCBS NC
NC2021581Medicare ID - Type Unspecified