Active NPIIndividual provider

Tina Chang

Family Medicine in Watertown, Massachusetts

NPI Number1457627762
Practice location
101 Walnut St, Watertown, MA 02472-4054
Fax
857-343-8192
Last updated
August 22, 2024

Tina Chang is a Family Medicine based in Watertown, MA. Tina Chang practices in Watertown, MA. The NPI Number for Tina Chang is 1457627762 and holds a License No. 281034 (MA). The current practice location address for Tina Chang is 101 Walnut St, Watertown, MA 02472-4054 and can be reached out via phone at 888-897-1887 and via fax at 857-343-8192.

Provider Profile Details

NPI Number
1457627762
Provider Name
Tina Chang
Provider Entity Type
Individual
Gender
Female
Address
101 Walnut St, Watertown, MA 02472-4054
Phone Number
888-897-1887
Fax Number
857-343-8192
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 30, 2012
Last Update Date
August 22, 2024
Certification Date
August 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Walnut St
Watertown, MA 02472-4054
Zip
02472-4054
Phone Number
888-897-1887
Fax Number
857-343-8192
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
101 Walnut St
Watertown, MA 02472-4054
City
Watertown
State
MA
Zip
02472-4054
Phone Number
888-897-1887

License Information

License Number (1)
281034
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
2015-02264
License State (2)
NC
Taxonomy (2)
Family Medicine · 207Q00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tina Chang?

The NPI number of Tina Chang is 1457627762. It was assigned on March 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Tina Chang?

Tina Chang is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 281034.

Where does Tina Chang practice?

The practice location is 101 Walnut St, Watertown, MA 02472-4054. The office can be reached at 888-897-1887 (phone) or 857-343-8192 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457627762 directly on the NPPES registry website.

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