Individual
DR. JERRY SHENG-CHIEH CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SAINT ANDREWS LN, NORTH SHORE LIJ GLEN COVE HOSPITAL, DEPT OF RADIOLOGY, GLEN COVE, NY 11542-2254
(516) 674-7540
(516) 674-7546
Mailing address
101 SAINT ANDREWS LN, NORTH SHORE LIJ GLEN COVE HOSPITAL, DEPT OF RADIOLOGY, GLEN COVE, NY 11542-2254
(516) 674-7540
(516) 674-7546
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
227651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065064
—
NJ
Enumeration date
04/18/2006
Last updated
07/31/2008
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