Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY CHI CHUAN FANG, MD
ActiveJERRY CHI CHUAN FANG, MD is a Physical Medicine & Rehabilitation healthcare provider located in BROCKTON, Massachusetts. NPI 1437413242 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · BROCKTON, MA
Registration Details
- NPI Number
- 1437413242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2012 (13.991851189819 yrs)
- Last Updated
- Jun 17, 2021
- Licenses
-
MT202572 (PA)283804 (MA)
Practice Information
- Address
-
110 LIBERTY STBROCKTON, MA, 023015674Browse MA providers · Browse ZIP 02301
- Phone
- 5088940400
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| DR. TARA SAMANTHA SWIM | M.D. | 1104267012 |
| DR. JOHN ALEXANDER WALLINGTON | M.D. | 1265819577 |
| SUSAN DIVER | RPT | 1063993640 |
| MR. DANIEL SHAW | — | 1861346777 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.