Individual
MS. MARY W CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UCONN DERMATOLOGY, 21 SOUTH ROAD, 2ND FLOOR, FARMINGTON, CT 06032
(860) 679-4600
(860) 679-7534
Mailing address
DEPARTMENT OF DERMATOLOGY UCONN HEALTH, 21 SOUTH RD, 2ND FLOOR, FARMINGTON, CT 06032
(860) 679-4600
(860) 679-7534
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
42985
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001429853
—
CT
Enumeration date
06/17/2005
Last updated
09/30/2022
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