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Dr. Jason L Chang, MD
Hematology & Oncology Physician in Southington, Connecticut
NPI 1174739072

Jason L Chang is a Hematology & Oncology Physician based in Southington, CT and is specialized in Hematology & Oncology. Jason L Chang practices in Southington, CT and has the professional credentials of MD. The NPI Number for Jason L Chang is 1174739072 and holds a License No. 049717 (Connecticut).

The current practice location address for Jason L Chang is 55 Meriden Ave Ste 1A, Southington, CT and can be reached out via phone at 860-621-9316.

Location: 55 Meriden Ave Ste 1A, Southington, CT, 06489-3237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174739072
Provider Name
Jason L Chang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Meriden Ave Ste 1A, Southington, CT, 06489-3237
Phone Number
860-621-9316
Fax Number
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
204892866 01 TAXPAYER IDENTIFICATION
institution
Provider Business Practice Location Address Details
Address
55 Meriden Ave Ste 1A
City
Southington
State
Connecticut
Zip
06489-3237
Phone Number
860-621-9316
Fax Number
person
Provider Business Mailing Address Details
Address
55 Meriden Ave Ste 1A
City
Southington
State
Connecticut
Zip
06489-3237
Phone Number
860-621-9316
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
049717 (Connecticut)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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