Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 263128 | MA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 275275 | MA |
NPI | 1033473624 |
---|---|
Provider Name | Dr. Lee-Shing Chang |
First Address | Boston, MA 02115 |
Second Address | Boston, MA 02115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 24/09/2020 |