Individual
DR. CHANG H HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
920 MAIN STREET, C/O BERGEN ORAL SURGERY GROUP, PA, HACKENSACK, NJ 07601
(201) 343-8297
(201) 343-2535
Mailing address
8 GRAND COVE WAY, EDGEWATER, NJ 07020-7220
(201) 282-4052
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
050196
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02309700
NJ
Other
Enumeration date
08/20/2007
Last updated
06/30/2008
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