Individual
DR. KALIQ TRIMBLE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 PROSPECT AVE, STE 110, WEST ORANGE, NJ 07052
(973) 419-0200
Mailing address
475 PROSPECT AVE, STE 110, WEST ORANGE, NJ 07052
(973) 419-0200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
270617
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
270617
NY
Other
Enumeration date
04/28/2009
Last updated
12/30/2015
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