Individual
DR. JAE HYUNG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, PH4-124, NEW YORK, NY 10032-3720
(212) 305-3273
Mailing address
622 W 168TH ST, PH4-124, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
279365
NY
Other
Enumeration date
06/02/2008
Last updated
07/04/2015
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