Individual
MR. JAE YONG CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
579 BERGEN BLVD FL 2, RIDGEFIELD, NJ 07657-2032
(201) 945-4372
Mailing address
2486 5TH ST, FORT LEE, NJ 07024-7840
(201) 945-4372
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
001627
NY
171100000X
Acupuncturist
Primary
25MZ00030400
NJ
Other
Enumeration date
05/10/2012
Last updated
03/28/2023
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