Healthcare Provider Details

I. General information

NPI: 1598691701
Provider Name (Legal Business Name): HAN YAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 BOYLSTON ST
CHESTNUT HILL MA
02467-2477
US

IV. Provider business mailing address

29 RIVINGTON AVE
THORNHILL ON
L4J0A9
CA

V. Phone/Fax

Practice location:
  • Phone: 617-732-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPFLN115723
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: