Provider Demographics
NPI:1689744088
Name:FANG, JAMES CHU-WEN (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CHU-WEN
Last Name:FANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 STOCKER LN
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2119
Mailing Address - Country:US
Mailing Address - Phone:908-889-4363
Mailing Address - Fax:
Practice Address - Street 1:290 MADISON AVE STE 1A
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7401
Practice Address - Country:US
Practice Address - Phone:973-538-5338
Practice Address - Fax:973-538-5343
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0505561223S0112X
NJ22DI024548001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery