Individual
EFFIE C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
136 SHERMAN AVE, STE 302, NEW HAVEN, CT 06511
(203) 776-5360
(203) 787-4990
Mailing address
136 SHERMAN AVE, STE 302, NEW HAVEN, CT 06511
(203) 776-5360
(203) 787-4990
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
17026
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017026CT01
ANTHEM BC
—
01
—
0468300001
DMERC
CT
Enumeration date
07/28/2006
Last updated
01/29/2010
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