National Provider Identifier
Jaewon Chang
Jaewon Chang is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Elmira, NY and a listed phone number of (607) 734-4110.
Profile Overview
- NPI
- 1801246798
- Provider Type
- Individual
- Primary Specialty
- Orthopaedic Surgery Physician
- Enumeration Date
- June 21, 2016
- Last Updated
- July 11, 2022
Practice Location
- 300 Hoffman St
- Elmira, NY 14905-2263
Phone: (607) 734-4110
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Orthopaedic Surgery Physician (207X00000X)
- Orthopaedic Surgery Physician (207X00000X)
Full Record
- NPI
- 1801246798
- Entity Type
- Individual
- Last Name
- Chang
- First Name
- Jaewon
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 300 Hoffman St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-2263
- Practice Country
- US
- Practice Phone
- (607) 734-4110
- Enumeration Date
- June 21, 2016
- Last Updated
- July 11, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopaedic Surgery Physician (207X00000X), Orthopaedic Surgery Physician (207X00000X)