NPI 1962407718 · live from the CMS NPI Registry
Mary W Chang, MD
Dermatology, Pediatric Dermatology in Farmington, CT. National Provider Identifier 1962407718, active.
NPI record
| NPI | 1962407718 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, Pediatric Dermatology 207NP0225X |
| Practice location | Uconn Dermatology, 21 South Road, 2nd Floor, Farmington, CT 06032 |
| Practice phone | 860-679-4600 |
| Mailing address | Department Of Dermatology Uconn Health, 21 South Rd, 2nd Floor, Farmington, CT 06032 |
| Enumerated | June 17, 2005 |
| Last updated | September 30, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Pediatric Dermatology primary | 207NP0225X | 42985 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.