Individual
ROBERT Y CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 ELM STREET, NEW HAVEN, CT 06510-2023
(203) 789-0425
Mailing address
35 ELM STREET, NEW HAVEN, CT 06510-2023
(203) 789-0425
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
035333
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00135333
—
CT
01
—
035333
LISCENSE - CT
CT
Enumeration date
11/20/2006
Last updated
03/07/2023
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