Individual
EDITH CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 REFUGEE RD STE 250, PICKERINGTON, OH 43147-9861
(614) 293-8617
(614) 685-5246
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8617
(614) 685-5246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-06-7141 C
OH
207Q00000X
Family Medicine Physician
Primary
35.067141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460362
—
OH
Enumeration date
06/19/2006
Last updated
10/11/2021
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