Organization
JACK CHANG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CHANG MD (MD)
(978) 937-9333
Entity
Organization
Contact information
Practice address
706 ROGERS ST, LOWELL, MA 01852-4338
(978) 937-9333
(978) 937-9992
Mailing address
706 ROGERS ST, LOWELL, MA 01852-4338
(978) 937-9333
(978) 937-9992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74694
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782567
—
MA
Enumeration date
12/13/2005
Last updated
08/22/2020
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