Individual
DR. JASON C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.M.S.
Contact information
Practice address
180 PARK ROW, NEW YORK, NY 10038-1127
(212) 385-9399
Mailing address
180 PARK ROW, NEW YORK, NY 10038-1127
(212) 385-9399
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02039500
NJ
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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