Individual
FANG-CHIN CHIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
769 RIVER RD, NEW MILFORD, NJ 07646-3030
(201) 261-0255
(201) 845-8455
Mailing address
PO BOX 3345, FORT LEE, NJ 07024-9345
(201) 261-0255
(201) 845-8455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB06764100
NJ
208D00000X
General Practice Physician
Primary
25MB06764100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8144401
—
NJ
Enumeration date
04/07/2006
Last updated
08/26/2008
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