Provider Demographics
NPI:1801107859
Name:CHANG, PETER YUWEI (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:YUWEI
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1440 MAIN ST
Mailing Address - Street 2:STE 201
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1640
Mailing Address - Country:US
Mailing Address - Phone:781-891-6377
Mailing Address - Fax:781-647-1430
Practice Address - Street 1:1440 MAIN ST
Practice Address - Street 2:STE 201
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1640
Practice Address - Country:US
Practice Address - Phone:781-891-6377
Practice Address - Fax:781-647-1430
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2018-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA266201207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology