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Individual
JUSTINE CHANG
Active
Individual
JUSTINE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD60275720
WA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD60275720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296277
L&I
WA
05
—
1528259090
—
WA
Enumeration date
08/08/2007
Last updated
12/15/2021
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