Individual
BENJAMIN WEIZER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39180 FARWELL DR, FREMONT, CA 94538-1000
(510) 585-2545
Mailing address
716 SOLSTICE CT, FREMONT, CA 94539-4805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002080
CA
363LF0000X
Family Nurse Practitioner
95002080
CA
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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