Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHANG BAE SON, MD
Active Sole ProprietorDR. CHANG BAE SON, MD is a Dermatology healthcare provider located in ENGLEWOOD, New Jersey. NPI 1063493898 is currently active in the NPPES registry. Verify at CMS.
Dermatology · ENGLEWOOD, NJ
Registration Details
- NPI Number
- 1063493898
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2005 (20.781563495585 yrs)
- Last Updated
- Feb 12, 2023
- Licenses
-
MD425589 (PA)25MA08185100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 GRAND AVE 201ENGLEWOOD, NJ, 076314363Browse NJ providers · Browse ZIP 07631
- Phone
- 2019443800
- Fax
- 2019443804
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in ENGLEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELE GRODBERG | M.D. | 1225047038 |
| DR. ILYSE SIMONE LEFKOWICZ | M.D. | 1164432043 |
| DR. ELSA ORDOUKHANIAN | MD | 1316958101 |
| DR. NATASHA STEINMAN | M.D. | 1689685778 |
| DR. HERBERT S FEINBERG | M.D. | 1407968910 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.