Healthcare Provider Details

I. General information

NPI: 1679939722
Provider Name (Legal Business Name): YILIN CAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA CAO

II. Dates (important events)

Enumeration Date: 01/05/2016
Last Update Date: 12/11/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST
BOSTON MA
02115-6110
US

IV. Provider business mailing address

75 FRANCIS ST
BOSTON MA
02115-6110
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-5500
  • Fax: 410-502-1419
Mailing address:
  • Phone: 617-732-5500
  • Fax: 410-502-1419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number1014878
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: