Individual
DR. THERESA S CHANG
Active
Individual
DR. THERESA S CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
223302
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104491
—
MA
01
—
478709
TUFTS HEALTH PLAN
MA
01
—
J28954
BCBS MA
MA
Enumeration date
03/22/2006
Last updated
07/08/2007
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