Healthcare Provider Details

I. General information

NPI: 1902822083
Provider Name (Legal Business Name): CHUNG HWA YI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 WASHINGTON PL
BEDFORD NH
03110-6736
US

IV. Provider business mailing address

160 S RIVER RD STE 100
BEDFORD NH
03110-6927
US

V. Phone/Fax

Practice location:
  • Phone: 603-695-2500
  • Fax:
Mailing address:
  • Phone: 603-647-0494
  • Fax: 603-647-0494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberNH10981
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: