Individual
DR. STEPHEN W. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1980 GALLOWS RD, VIENNA, VA 22182-3913
(703) 356-9899
Mailing address
1980 GALLOWS RD, VIENNA, VA 22182-3913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
246121
NY
2085R0202X
Diagnostic Radiology Physician
Primary
0101242425
VA
2085R0202X
Diagnostic Radiology Physician
246121
NY
2085R0202X
Diagnostic Radiology Physician
25MA09064100
NJ
Other
Enumeration date
05/27/2008
Last updated
10/17/2013
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