Individual
MR. JASPER OLIVER CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT, ATC, CES
Contact information
Practice address
CALDWELL FIELDHOUSE, FACULTY ROAD, PRINCETON, NJ 08544-0001
(609) 258-3527
(609) 258-7045
Mailing address
186 ESTATES BLVD, APT. #13, HAMILTON, NJ 08610-2109
(562) 895-4306
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00211600
NJ
2255A2300X
Athletic Trainer
2601001366
MI
Other
Enumeration date
11/26/2014
Last updated
09/04/2015
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