Active NPIIndividual provider

Ms. Mary W Chang, MD

Dermatology, Pediatric Dermatology in Farmington, Connecticut

NPI Number1962407718
Practice location
Uconn Dermatology, 21 South Road, 2ND Floor, Farmington, CT 06032
Fax
860-679-7534
Last updated
September 30, 2022

Mary W Chang is a Dermatology, Pediatric Dermatology based in Farmington, CT. Mary W Chang practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Mary W Chang is 1962407718 and holds a License No. 42985 (CT). The current practice location address for Mary W Chang is Uconn Dermatology, 21 South Road, 2ND Floor, Farmington, CT 06032 and can be reached out via phone at 860-679-4600 and via fax at 860-679-7534.

Provider Profile Details

NPI Number
1962407718
Provider Name
Mary W Chang
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Uconn Dermatology, 21 South Road, 2ND Floor, Farmington, CT 06032
Phone Number
860-679-4600
Fax Number
860-679-7534
Primary Taxonomy
Dermatology, Pediatric Dermatology · 207NP0225X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2005
Last Update Date
September 30, 2022
Certification Date
July 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Uconn Dermatology
21 South Road, 2ND Floor
Farmington, CT 06032
Zip
06032
Phone Number
860-679-4600
Fax Number
860-679-7534
Farmington, CT 06032Get directions →

Provider Business Mailing Address Details

Address
Department Of Dermatology Uconn Health
21 South RD, 2ND Floor
Farmington, CT 06032
City
Farmington
State
CT
Zip
06032
Phone Number
860-679-4600
Fax Number
860-679-7534

License Information

License Number
42985
License State
CT
Taxonomy
Dermatology, Pediatric Dermatology · 207NP0225X · Primary

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 Ms. Mary W Chang, MD?

The NPI number of Ms. Mary W Chang, MD is 1962407718. It was assigned on June 17, 2005 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary W Chang, MD?

Ms. Mary W Chang, MD is registered under the primary taxonomy Dermatology, Pediatric Dermatology (code 207NP0225X), licensed in CT under license number 42985.

Where does Ms. Mary W Chang, MD practice?

The practice location is Uconn Dermatology, 21 South Road, 2ND Floor, Farmington, CT 06032. The office can be reached at 860-679-4600 (phone) or 860-679-7534 (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 1962407718 directly on the NPPES registry website.

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