Individual
KEVIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
107 MAIN ST, WOODBRIDGE, NJ 07095-2863
(732) 634-6394
Mailing address
107 MAIN ST, WOODBRIDGE, NJ 07095-2863
(732) 634-6394
(732) 326-9349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03737600
NJ
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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