Individual
MIMI A. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 JAMES ST STE 2, FLORHAM PARK, NJ 07932-1346
(973) 822-3338
(973) 822-8098
Mailing address
22 RIDGE RD, GREEN BROOK, NJ 08812-1830
(732) 868-1038
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MA64973
NJ
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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