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NPI Code Detail

MEDICARE: DR. CHANG O SON M.D.

MEDICARE: DR. CHANG O SON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) Physician2017-01958NC
2207RX0202XMedical Oncology Physician2017-01958NC
3207R00000XInternal Medicine Physician0101255714NC
4207RH0003XHematology & Oncology PhysicianMD60764798NC

General Provider Information

NPI Number : 1396016838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHANG O SON M.D.
Provider Business Mailing Address
First Line : 48 NEWMARKET SQ
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23605-2721
Country : US
Telephone Number : 757-825-8030
Fax Number : 757-244-9003
Provider Business Practice Location Address
First Line : 1638 OWEN DR STE 108
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 910-615-6910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 04/08/2026

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Directions to “ DR. CHANG O SON M.D.” Practice Location

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