Individual
DR. CHANG BAE SON
Active
Individual
DR. CHANG BAE SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA08185100
NJ
207N00000X
Dermatology Physician
MD425589
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08185100
NJ LICENSE
NJ
Enumeration date
11/09/2005
Last updated
02/12/2023
Update your record
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