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Individual

DR. ERIC CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8860 COLUMBIA 100 PKWY STE 314, COLUMBIA, MD 21045-2298
(410) 740-9330
(410) 740-9335
Mailing address
8860 COLUMBIA 100 PKWY STE 314, COLUMBIA, MD 21045-2298
(410) 740-9330
(410) 740-9335

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0062685
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
D62685
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7990899
AETNA PIN
Enumeration date
08/12/2005
Last updated
07/01/2024
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