Individual
ROBERT CHANG
Active
Individual
ROBERT CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053589
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
247005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02926121
—
NY
Enumeration date
04/06/2007
Last updated
06/21/2013
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