Kook-Jin Chang is a General Practice in Bronx, New York. Kook-Jin Chang practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kook-Jin Chang is 1023237708. The last update date is 2016-06-17.
Kook-Jin Chang's current location address is 1749 Grand Concourse, Bronx, New York. You can contact this provider via phone number 9283805044. The mailing address for Kook-Jin Chang is 1749 Grand Concourse, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kook-Jin Chang |
|---|---|
| Address | 1749 Grand Concourse, Bronx, New York |
| Phone Number | 9283805044 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1023237708 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2016-06-17 |
Provider Mailing Address Detail
| Address | 1749 Grand Concourse |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104538000 |
| Phone Number | 9283805044 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 52588 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9801103 | HEALTHY FAMILIES DELTA | ||
| G9151801 | CA | MEDI CAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kook-Jin Chang?
The Kook-Jin Chang has been issued the NPI (National Provider Identifier) 1023237708 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Kook-Jin Chang is geographically located?
The Kook-Jin Chang is physically situated at the following location: 1749 Grand Concourse, Bronx, NY, 104538000.
What is Kook-Jin Chang's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kook-Jin Chang is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023237708 to Kook-Jin Chang?
The Centers for Medicare & Medicaid Services originally issued the 1023237708 to Kook-Jin Chang on 2007-04-24.
As of what date were the Kook-Jin Chang's details last updated?
The information pertaining to the Kook-Jin Chang, including its address, specialty, and other details, was most recently updated on 2016-06-17.