Female

Dr. Kara Deaver Chang M.D.

Specialist in Wellesley, MA(View on Map)

Full Name

Dr. Kara Deaver Chang M.D.

NPI Number

1013941350

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/11/2006

Specialties

(Taxonomies)

Code

174400000X
207V00000X

Primary Taxonomy

Yes
No

Licenses

State

Illinois
Massachusetts

License Number

036114321
242142

Contact
Information

Purpose

Mailing
Location

Address

30 WASHINGTON ST
30 WASHINGTON ST

City

Wellesley
Wellesley

State

MA
MA

Postal Code

02481-1905
02481-1905

Country

US
US

Telephone Number

(781) 263-0033
(781) 263-0033

Identifiers

Identifier

01620273

Identifier State

IL

Identifier Issuer

BLUE CROSS BLUE SHIELD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/21/2011

Provider Address

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