Individual
DR. KARA DEAVER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 WASHINGTON ST, WELLESLEY, MA 02481-1905
(781) 263-0033
(781) 263-9125
Mailing address
30 WASHINGTON ST, WELLESLEY, MA 02481-1905
(781) 263-0033
(781) 263-9125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036114321
IL
174400000X
Specialist
Primary
242142
MA
207V00000X
Obstetrics & Gynecology Physician
242142
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620273
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/11/2006
Last updated
03/21/2011
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