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Individual

JAEWON CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 HOFFMAN ST, ELMIRA, NY 14905-2263
(607) 734-4110
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
317210
NY
207X00000X
Orthopaedic Surgery Physician
OT017024
PA

Other

Enumeration date
06/21/2016
Last updated
07/11/2022
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