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Individual

JONATHAN CHIANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
301 SAINT PAUL ST, DEPARTMENT OF INTERVENTIONAL RADIOLOGY, BALTIMORE, MD 21202-2102
(410) 332-9231
Mailing address
7238 DORCHESTER WOODS LN, HANOVER, MD 21076-2038

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03911
MD

Other

Enumeration date
10/28/2008
Last updated
03/20/2014
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