Individual
MS. MARY C. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 PRIMROSE ST STE 202, HAVERHILL, MA 01830-2659
(978) 556-1000
(978) 556-0094
Mailing address
24 MORRILL PL STE 2, AMESBURY, MA 01913-3530
(978) 834-8074
(978) 834-8077
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
243524
MA
207VX0000X
Obstetrics Physician
K1390
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039764802
—
TX
01
—
8P0851
BC/BS
TX
01
—
K1390
STATE LICENSE
TX
Enumeration date
07/26/2006
Last updated
10/18/2021
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