| Tina Chang, | |
|
101 Walnut St, Watertown, MA 02472-4054 | |
| (888) 897-1887 | |
| (857) 343-8192 |
| Full Name | Tina Chang |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 101 Walnut St, Watertown, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457627762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 281034 (Massachusetts) | Primary |
| 207Q00000X | Family Medicine | 2015-02264 (North Carolina) | Secondary |
| Entity Name | Duke University Affiliated Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Chang, 101 Walnut St, Watertown, MA 02472-4054 Ph: (888) 897-1887 | Tina Chang, 101 Walnut St, Watertown, MA 02472-4054 Ph: (888) 897-1887 |
Rosemary E Pomponio, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 376 Arsenal St, Watertown, MA 02472 Phone: 617-953-5817 Fax: 617-795-7082 | |
Marcia Goldensher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 485 Arsenal St, Internal Medicine, Watertown, MA 02472 Phone: 617-972-5200 Fax: 617-972-5512 | |
Eleanor A Bueno, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Walnut St, Watertown, MA 02472 Phone: 888-897-1887 Fax: 857-343-8192 |