BONG CHANG, MD, Radiation Oncology MANAHAWKIN, NJ

Contact Information

BONG CHANG, MD

1140 ROUTE 72 W
MANAHAWKIN, NJ 08050-2412

Phone: 609-978-2194
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for BONG CHANG · (Male)

NPI #	`1720064827`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	12/20/2005
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	Not specified
Identifiers	NJ License # MA04440400 NJ Medicaid 0128805 NJ Other 2351609 AETNA HMO NJ Other 4319635 AETNA PPO NJ Other 0231571000 AMERIHEALTH HMO/POS NJ Other 400377 AMERIHEALTH PPO NJ Other 1K5038 HEALTHNET NJ Other P2063667 OXFORD NJ Other 28536 UNIVERSITY HEALTH PLAN
Hospital affiliation(s)	Not Available

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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