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Contact Information

JOHNNY A CHANG, M.D.
410 SAYBROOK RD
MIDDLETOWN, CT06457-4777
 Phone: 860-358-2270
 Fax: 860-358-2275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JOHNNY A CHANG · (Male)

NPI # 1619975182
Status Active
Credentials M.D.
Entity Individual
Enumeration date 07/08/2005
Last updated 05/05/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • CT License # 041177
  • CT Medicaid 1411777
  • CT Other 3159551 AETNA PROVIDER ID
  • CT Other 00141177700 BLUE CARE FAMILY PLAN ID
  • CT Other 010041177CT01 BLUE SHIELD PROVIDER ID
  • CT Other 041177 CONNECTICARE PROVIDER ID
  • CT Other 2V4421 HEALTHNET PROVIDER ID
  • CT Other P2882366 OXFORD PROVIDER ID
  • CT Other 0000231610801 UNITED HEALTHCARE ID
Hospital affiliation(s)
  • CHARLOTTE HUNGERFORD HOSPITAL - (Acute Care)
    540 LITCHFIELD ST
    TORRINGTON, CT 06790
  • SHARON HOSPITAL - (Acute Care)
    50 HOSPITAL HILL ROAD, PO BOX 789
    SHARON, CT 06069
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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