Jack Chang Md Pc

LBN: Jack Chang Md Pc
Jack Chang Md Pc is an health care organization with primary practice located at 706 Rogers St , Lowell MA 01852-4338. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jack Chang Md Pc can be contacted via phone (978) 937-9333, or through Chang, Jack via phone (978) 937-9333.

Contact Information

Primary practice address
706 Rogers St Lowell MA 01852-4338
Phone: (978) 937-9333
Fax: (978) 937-9992
Website:
Map and Directions
Authorized official contact:
Name: Chang, Jack Doctor of Medicine (MD)
Phone: (978) 937-9333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 74694 Massachusetts

Profile Details

NPI number 1235114216
LBN Legal business name Jack Chang Md Pc
DBA Doing business as
Authorized official Chang, Jack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235114216 NPPES
Massachusetts MEDICAID 9782567

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