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Individual

FANG CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
254 CANAL ST, NEW YORK, NY 10013-3501
(212) 966-6888
(212) 966-6883
Mailing address
254 CANAL ST, ROOM 5003, NEW YORK, NY 10013-3501
(212) 966-6888
(212) 966-6883

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
212269
NY
207UN0901X
Nuclear Cardiology Physician
212269
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02094562
NY
Enumeration date
02/06/2006
Last updated
04/01/2016
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