Active NPIIndividual providerSole proprietor

Eun Ji Jang, MD

Pediatrics, Pediatric Infectious Diseases in Providence, Rhode Island

NPI Number1962922641
Practice location
593 Eddy St, Providence, RI 02903-4923
Fax
401-444-5650
Last updated
June 21, 2023

Eun Ji Jang is a Pediatrics, Pediatric Infectious Diseases based in Providence, RI. Eun Ji Jang practices in Providence, RI and has the professional credentials of MD. The NPI Number for Eun Ji Jang is 1962922641 and holds a License No. 1012964 (MA). The current practice location address for Eun Ji Jang is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-444-8360 and via fax at 401-444-5650.

Provider Profile Details

NPI Number
1962922641
Provider Name
Eun Ji Jang
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy St, Providence, RI 02903-4923
Phone Number
401-444-8360
Fax Number
401-444-5650
Primary Taxonomy
Pediatrics, Pediatric Infectious Diseases · 2080P0208X
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2017
Last Update Date
June 21, 2023
Certification Date
June 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy St
Providence, RI 02903-4923
Zip
02903-4923
Phone Number
401-444-8360
Fax Number
401-444-5650
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
874 Purchase St
New Bedford, MA 02740-6232
City
New Bedford
State
MA
Zip
02740-6232
Phone Number
508-992-6553
Fax Number
508-984-8420

License Information

License Number (1)
1012964
License State (1)
MA
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
LP04884
License State (2)
RI
Taxonomy (2)
Pediatrics, Pediatric Infectious Diseases · 2080P0208X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pediatrics, Pediatric Infectious Diseases providers near Providence, RI

View all Pediatrics, Pediatric Infectious Diseases providers in Providence →

Frequently Asked Questions

What is the NPI number of Eun Ji Jang, MD?

The NPI number of Eun Ji Jang, MD is 1962922641. It was assigned on June 22, 2017 and is currently active in the NPPES registry.

What is the specialty of Eun Ji Jang, MD?

Eun Ji Jang, MD is registered under the primary taxonomy Pediatrics, Pediatric Infectious Diseases (code 2080P0208X), licensed in MA under license number 1012964.

Where does Eun Ji Jang, MD practice?

The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-444-8360 (phone) or 401-444-5650 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962922641 directly on the NPPES registry website.

Browse related providers