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Dr. John Chu-Hong Chang

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NPI Number Detailed Information

Provider Information:

Name: Dr. John Chu-Hong Chang
Gender: M
Provider License Number If Given: 225687-1

NPI Information:

NPI: 1073516027
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 4/5/2017

Provider Business Mailing Address:

Address: 169 N MIDDLETOWN RD
Pearl River, NY 10965
Phone Number: 8457355666
Fax Number: 8457355673

Provider Business Practice Location Address:

Address: 169 N MIDDLETOWN RD
Pearl River, NY 10965
Phone Number: 8457355666
Fax Number: 8457355673

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 207W00000X
State: NY

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