Individual
DR. PAUL ANDREW CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2558 W 4TH ST, ONTARIO, OH 44906-1209
(419) 529-4100
(419) 529-8700
Mailing address
PO BOX 3627, MANSFIELD, OH 44907-0627
(419) 529-4100
(419) 529-8700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35078250C
OH
208000000X
Pediatrics Physician
35078250C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2192694
—
OH
Enumeration date
12/29/2005
Last updated
01/06/2014
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