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NPI Code Detail

MEDICARE: VICTORIA CHANG M.D.

MEDICARE:   VICTORIA  CHANG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician258798MA
2207W00000XOphthalmology Physician123061FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043520109
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA CHANG M.D.
Provider Business Mailing Address
First Line : 243 CHARLES ST
Second Line : MEEI/DEPARTMENT OF OPHTHALMOLOGY
City : BOSTON
State : MA
Zip : 02114-3002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3880 TAMIAMI TRL N
Second Line :
City : NAPLES
State : FL
Zip : 34103-3504
Country : US
Telephone Number : 239-659-3944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2010
Last Update Date : 11/13/2022

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Directions to “ VICTORIA CHANG M.D.” Practice Location

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