Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phat Chang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407694250

Phat Chang is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

185 S Orange Ave
Newark, NJ 07103-2757
Phone: (732) 445-4636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407694250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESApril 11, 2025
Certification dateApril 11, 2025
Mailing address4036 Maxey Hill Dr, Stone Mountain, GA 30083-2336

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