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Contact Information

MARTIN C CHANG, M.D., PH.D.
111 COLCHESTER AVE
BURLINGTON, VT05401-1473
 Phone: 802-847-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARTIN C CHANG · (Male)

NPI # 1578510939
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 05/30/2006
Last updated 02/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 227440
  • VT License # 042.0014191
Hospital affiliation(s)
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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