Jessica Chang, MD
Radiology, Diagnostic Radiology in Providence, RI. Individual provider (NPI-1).
NPI number1558092999
StatusActive
Last updated in NPPESAug 6, 2023
Details
- NPI
- 1558092999
- Entity type
- Individual (NPI-1)
- Name
- Jessica Chang
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2022
- Certification date
- Aug 6, 2023
- Last updated
- Aug 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 293631 | MA | Yes |
Practice location
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-4000
Mailing address
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-4000
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