Healthcare Provider Details

I. General information

NPI: 1023647294
Provider Name (Legal Business Name): JI HYUN YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 LINCOLN STREET METROWEST MEDICAL CENTER
FRAMINGHAM MA
01702
US

IV. Provider business mailing address

115 LINCOLN ST
FRAMINGHAM MA
01702-6342
US

V. Phone/Fax

Practice location:
  • Phone: 508-383-1572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD21408
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: