Healthcare Provider Details

I. General information

NPI: 1417119322
Provider Name (Legal Business Name): CHRISTINA YEE M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 12/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGWOOD AVE FEGAN 6
BOSTON MA
02115-5724
US

IV. Provider business mailing address

300 LONGWOOD AVE FEGAN 6
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6117
  • Fax: 617-730-0310
Mailing address:
  • Phone: 617-355-6177
  • Fax: 617-730-0310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125051635
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number239103
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: