Paul A. Chang, Md, Inc. | |
2558 W 4th St Ontario OH 44906-1209 | |
(419) 529-4100 | |
(419) 529-8700 |
Full Name | Paul A. Chang, Md, Inc. |
---|---|
Speciality | Internal Medicine |
Location | 2558 W 4th St, Ontario, Ohio |
Authorized Official Name and Position | Paul A Chang (OWNER) |
Authorized Official Contact | 4195294100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paul A. Chang, Md, Inc. Po Box 3627 Mansfield OH 44907 Ph: (419) 529-4100 | Paul A. Chang, Md, Inc. 2558 W 4th St Ontario OH 44906-1209 Ph: (419) 529-4100 |
NPI Number | 1952466476 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 12/19/2018 |
Medicare PECOS PAC ID | 5991807000 |
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Medicare Enrollment ID | O20070220000651 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952466476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Ohio) | Primary |
208000000X | Pediatrics | (Ohio) | Secondary |
Provider Name | Paul Andrew Chang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245217496 PECOS PAC ID: 8729014485 Enrollment ID: I20050713000975 |
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