MEDICARE: HYEMIN YANG POMERANTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	283097	MA

General Provider Information

NPI Number	:	1346506763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYEMIN YANG POMERANTZ

Provider Business Mailing Address
First Line	:	70 HASTINGS ST STE LL-2
Second Line	:
City	:	WELLESLEY
State	:	MA
Zip	:	02481-5439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 HASTINGS ST STE LL-2
Second Line	:
City	:	WELLESLEY
State	:	MA
Zip	:	02481-5439
Country	:	US
Telephone Number	:	781-261-0085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	11/09/2022

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Directions to “ HYEMIN YANG POMERANTZ ” Practice Location

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