NPI 1104952761 · live from the CMS NPI Registry
Victoria C. Chang, M.D.
Psychiatry & Neurology, Neurology in Providence, RI. National Provider Identifier 1104952761, active.
NPI record
| NPI | 1104952761 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 830 Chalkstone Ave, Providence, RI 02908 |
| Practice phone | 401-273-7100 |
| Mailing address | 830 Chalkstone Ave., Providence, RI 02908 |
| Enumerated | February 26, 2007 |
| Last updated | March 31, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 12810 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.