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Contact Information

JASON L CHANG, MD
55 MERIDEN AVE STE 1A
SOUTHINGTON, CT06489-3237
 Phone: 860-621-9316
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JASON L CHANG · (Male)

NPI Number 1174739072
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2007
Last updated 08/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 049717
  • Other 204892866 TAXPAYER IDENTIFICATION
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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