Healthcare Provider Details

I. General information

NPI: 1649978735
Provider Name (Legal Business Name): YINGYI ZHONG RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CAMBRIDGE ST STE 340
BOSTON MA
02114-2796
US

IV. Provider business mailing address

175 CAMBRIDGE ST STE 340
BOSTON MA
02114-2796
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-6540
  • Fax: 617-726-0230
Mailing address:
  • Phone: 617-726-6540
  • Fax: 617-726-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number5671
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: