Individual
VICTOR CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 CHASE PARKWAY, SUITE B, WATERBURY, CT 06708
(203) 755-6311
(203) 755-6263
Mailing address
19 LUNAR DRIVE, WOODBRIDGE, CT 06525
(203) 389-7504
(203) 389-1666
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
037275
CT
207RH0003X
Hematology & Oncology Physician
037275
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001372755
—
CT
Enumeration date
06/09/2006
Last updated
10/11/2011
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