Individual provider · Type 1 NPI

Phat Chang

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1407694250 Active

Practice location

185 S Orange Ave
Newark, NJ 07103-2757

Call (732) 445-4636 Map

Mailing address

4036 Maxey Hill Dr
Stone Mountain, GA 30083-2336

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407694250

Phat Chang's National Provider Identifier is 1407694250, issued on Jul 16, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Apr 11, 2025.