Individual
DR. PHILLIP JINGO CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19450 DEERFIELD AVE, SUITE 275, LEESBURG, VA 20176-6820
(703) 729-5553
(703) 729-1694
Mailing address
19450 DEERFIELD AVE, SUITE 275, LEESBURG, VA 20176-6820
(703) 729-5553
(703) 729-1694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101225778
VA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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