Dr. Jong Moon Chang, M.D.
Anesthesiology in Bronx, NY. Individual provider (NPI-1).
NPI number1043380751
StatusActive
Last updated in NPPESMar 15, 2013
Details
- NPI
- 1043380751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jong Moon Chang
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2006
- Last updated
- Mar 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 152504 | NY | Yes |
Practice location
1650 Grand ConcourseBronx, NY 10457-7606
Phone 718-466-8153
Mailing address
68 S Service RdSuite 350
Melville, NY 11747-2354
Phone 516-945-3000 · Fax 516-945-3131
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