Individual
DR. JEANETTE K CHANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
91 MONTVALE AVE, SUITE 208, STONEHAM, MA 02180-3623
(781) 279-1123
(781) 438-3034
Mailing address
91 MONTVALE AVE, SUITE 208, STONEHAM, MA 02180-3623
(781) 279-1123
(781) 438-3034
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
205830
MA
2086S0129X
Vascular Surgery Physician
205830
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195791
—
MA
01
—
J24951
BCBS
MA
Enumeration date
03/14/2006
Last updated
09/11/2025
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