Individual
DR. LEE-JAH CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDIMMUNE WAY, GAITHERSBURG, MD 20878-2204
(301) 398-0000
Mailing address
1 MEDIMMUNE WAY, GAITHERSBURG, MD 20878-2204
(301) 398-0000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD449896
PA
207R00000X
Internal Medicine Physician
0101250526
VA
207R00000X
Internal Medicine Physician
D72239
MD
Other
Enumeration date
12/21/2007
Last updated
08/08/2021
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