Individual
DR. JOHNNY A. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 SAYBROOK RD, MIDDLETOWN, CT 06457-4777
(860) 358-2270
(860) 358-2275
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3650
(860) 358-6000
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
041177
CT
208800000X
Urology Physician
Primary
041177
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000231610801
UNITED HEALTHCARE ID
CT
01
—
00141177700
BLUE CARE FAMILY PLAN ID
CT
01
—
010041177CT01
BLUE SHIELD PROVIDER ID
CT
01
—
041177
CONNECTICARE PROVIDER ID
CT
05
—
1411777
—
CT
01
—
2V4421
HEALTHNET PROVIDER ID
CT
01
—
3159551
AETNA PROVIDER ID
CT
01
—
P2882366
OXFORD PROVIDER ID
CT
Enumeration date
07/08/2005
Last updated
05/05/2026
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