Individual
MRS. CAROL SOO-JUNG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 955-2477
Mailing address
2855 CHERRY BRANCH LN, HERNDON, VA 20171-3843
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
VA0101239515
VA
207RN0300X
Nephrology Physician
0101239515
VA
Other
Enumeration date
03/09/2006
Last updated
06/01/2021
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