Individual
DR. JAIME CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WANG AMBULATORY CARE UNIT, SUITE 108, BOSTON, MA 02114-3117
(617) 726-2707
Mailing address
50 STANIFORD ST FL 7, ROOM 761C, BOSTON, MA 02114-2538
(617) 726-9069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218261
MA
207R00000X
Internal Medicine Physician
228468-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-07781
UNITED-ACD
MA
05
—
2014921
—
MA
01
—
218261
TUFTS
MA
01
—
3279544
AETNA
MA
01
—
4046326
CIGNA PAL
MA
01
—
6000156
HPHC-ACD
MA
01
—
J26498
BCBS
MA
Enumeration date
10/14/2005
Last updated
07/08/2007
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