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Organization

KENNETH S CHANG MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH S CHANG MD (PRESIDENT)
(201) 792-9339
Entity
Organization

Contact information

Practice address
3144 KENNEDY BLVD, JERSEY CITY, NJ 07306
(201) 792-9339
(201) 792-9818
Mailing address
3144 KENNEDY BLVD, JERSEY CITY, NJ 07306
(201) 792-9339
(201) 792-9818

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA38097
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118400150336
NJ
Enumeration date
12/04/2006
Last updated
08/22/2020
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