MARY W CHANG
Physician/surgeon


Address: 28 Pebble Beach Drive, Bloomfield, CT 06002

MARY W CHANG (Credential# 560567) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.

Business Overview

MARY W CHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042985. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 28 Pebble Beach Drive, Bloomfield, CT 06002. The current status is active.

Basic Information

Licensee Name MARY W CHANG
Credential ID 560567
Credential Number 1.042985
Credential Type Physician/Surgeon
Business Address 28 Pebble Beach Drive
Bloomfield
CT 06002
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-12-09
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-13

Other licenses

ID Credential Code Credential Type Issue Term Status
393832 CSP.0036935 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2005-01-13 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 28 Pebble Beach Drive
City Bloomfield
State CT
Zip Code 06002

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Paula L Raines 92 Daniel Blvd, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Kesone Taletia Telfer 36 Walsh Street, Bloomfield, CT 06002 Advanced Practice Registered Nurse ~
Joan Zito Upton 106 Duncaster Road, Bloomfield, CT 06002 Dental Hygienist 2020-08-01 ~ 2021-07-31
Sheri M Sparks Primary Eye Care Center, Bloomfield, CT 06002 Optometrist 2020-09-01 ~ 2021-08-31
Kaman Aerospace Corporation Old Windsor Road, Bloomfield, CT 06002 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Healing Meals Foundation Corporation Po Box 7223, Bloomfield, CT 06002 Public Charity 2020-12-01 ~ 2021-11-30
Taylor A West 5 Tiffany Ln, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
Emma J Ranel 53 Burr Road, Bloomfield, CT 06002 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Dorothy W Field 177 Oliver Way, Bloomfield, CT 06002 Registered Nurse 2020-09-01 ~ 2021-08-31
Carol J Mortensen 6 Maple Edge Dr, Bloomfield, CT 06002 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City Bloomfield
Zip Code 06002
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Bloomfield

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Chang R. Na 925 Mix Ave Apt 1p, Hamden, CT 06514-5119 Physician/surgeon 2013-03-01 ~ 2014-02-28
Sandy Chang Madison, CT 06443 Physician/surgeon 2020-05-01 ~ 2021-04-30
Yu C Chang 209-42 30th Ave., Bayside, NY 11360-2419 Physician/surgeon 2006-07-12 ~ 2007-08-31
Robert Y Chang Md 35 Elm St, New Haven, CT 06510 Physician/surgeon 2020-06-01 ~ 2021-05-31
Tina Yin Chang 701 5th Ave, Seattle, WA 98104 Physician/surgeon 2020-05-01 ~ 2021-04-30
Chunghun Chang 2 Doris Dr, Scarsdale, NY 10583-2712 Physician/surgeon 2016-07-01 ~ 2017-06-30
Stanley Chang 79 Greenacres Ave, Scarsdale, NY 10583 Physician/surgeon 2003-09-22 ~ 2004-09-30
Winshih Chang 664 Stoneleigh Ave Ste 300, Carmel, NY 10512-3990 Physician/surgeon 2016-11-09 ~ 2017-08-31
Nam Sik Chang Scott Dr, South Windsor, CT 06074 Physician/surgeon 1981-01-01 ~ 1987-09-22
Joann C Chang 4 Liberty Sq, Littleton, MA 01460-2002 Physician/surgeon 2018-12-01 ~ 2019-11-30

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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