Jaewon Chang
Orthopaedic Surgery in Elmira, NY. Individual provider (NPI-1).
NPI number1801246798
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1801246798
- Entity type
- Individual (NPI-1)
- Name
- Jaewon Chang
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2016
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 317210 | NY | Yes |
| 207X00000X | Orthopaedic Surgery | OT017024 | PA |
Practice location
300 Hoffman StElmira, NY 14905-2263
Phone 607-734-4110
Mailing address
571 Saint Josephs Blvd Fl 2Elmira, NY 14901-3230
Phone 607-271-2050 · Fax 607-873-1244
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All 7 Orthopaedic Surgery Physician providers in Elmira · All 1,989 providers in Elmira
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