Chang, David
Chang, David is an individual health care provider with primary practice located at 7650 River Rd Ste 300 , North Bergen NJ 07047-6527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chang, David can be contacted via phone (201) 520-1919.Contact Information
Primary practice address
7650 River Rd Ste 300
North Bergen NJ 07047-6527
Phone: (201) 520-1919
Fax: (201) 453-2782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 25MA07026900 | New Jersey |
Profile Details
| NPI number | 1487622718 |
|---|---|
| LBN Legal business name | Chang, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Dec 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487622718 | NPPES |
| New Jersey | MEDICAID | 7586205 |
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