Chang, Jeanette K
Chang, Jeanette K is an individual health care provider with primary practice located at 91 Montvale Ave Suite 208, Stoneham MA 02180-3623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Chang, Jeanette K can be contacted via phone (781) 279-1123.Contact Information
Primary practice address
91 Montvale Ave Suite 208
Stoneham MA 02180-3623
Phone: (781) 279-1123
Fax: (781) 438-3034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 205830 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 205830 | Massachusetts |
Profile Details
| NPI number | 1003884164 |
|---|---|
| LBN Legal business name | Chang, Jeanette K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003884164 | NPPES |
| Massachusetts | MEDICAID | 0195791 | |
| Massachusetts | Other | J24951 |
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