John B. Chang,mdpc

NPI #1154307262 in Roslyn, New York

Provider Information

NPI Number: 1154307262
Entity Type: Organization
Organization Name: John B. Chang,mdpc
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Dec 20, 2005
Last Updated: Mar 8, 2010

Practice Location

Address: 1050 NORTHERN BLVD
City: Roslyn
State: New York
ZIP Code: 11576-1503
Phone: (516) 484-3430

Authorized Official

Name: DR. LUCY CHANG, MD
Title: VICE-PRESIDENT
Phone: (516) 484-3430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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