Chang, Patrick Kung Sun

Chang, Patrick Kung Sun is an individual health care provider with primary practice located at 101 Old Short Hills Rd Suite 206, West Orange NJ 07052-1023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chang, Patrick Kung Sun can be contacted via phone (973) 731-5005.

Contact Information

Primary practice address
101 Old Short Hills Rd Suite 206 West Orange NJ 07052-1023
Phone: (973) 731-5005
Fax: (973) 325-6230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MA29139 New Jersey

Profile Details

NPI number 1578644217
LBN Legal business name Chang, Patrick Kung Sun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Dec 27th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578644217 NPPES
New Jersey MEDICAID 1836005

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