Individual
DR. ANDREW J CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3821 ED DR, RALEIGH, NC 27612-8038
(919) 758-8677
Mailing address
3821 ED DR, RALEIGH, NC 27612-8038
(919) 863-9441
(919) 863-9442
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2012010357
MO
208800000X
Urology Physician
Primary
201902815
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336222100
—
MD
Enumeration date
05/27/2008
Last updated
01/07/2021
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