Individual
TAM CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
456 PARK AVENUE, WORCESTER, MA 01610-2473
(508) 796-5661
(508) 796-5666
Mailing address
456 PARK AVE, WORCESTER, MA 01610-1227
(508) 796-5661
(508) 796-5666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1271
MA
Other
Enumeration date
02/21/2007
Last updated
05/12/2011
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