Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 254259 | NY |
Y | 2081P2900X | Pain Medicine | 25MA08717800 | NJ |
NPI | 1053501916 |
---|---|
Provider Name | Dr. James Kenneth Chang |
First Address | Jersey City, NJ 07306-3524 |
Second Address | Jersey City, NJ 07306-3524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 06/12/2019 |