Individual
YUSHAN CHANG WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 MAIN ST, MILFORD, MA 01757-2511
(508) 478-0555
(508) 473-5088
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
241778
NY
207YS0123X
Facial Plastic Surgery Physician
Primary
247501
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089289
—
MA
Enumeration date
01/08/2007
Last updated
10/07/2025
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