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NPI Code Detail

MEDICARE: DAVID HYUNGJUN YI MD

MEDICARE: DAVID HYUNGJUN YI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician209741MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003808197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID HYUNGJUN YI MD
Provider Business Mailing Address
First Line : 19 VILLAGE SQ
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2712
Country : US
Telephone Number : 978-256-5600
Fax Number : 978-703-0250
Provider Business Practice Location Address
First Line : 19 VILLAGE SQ
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2712
Country : US
Telephone Number : 978-256-5600
Fax Number : 978-703-0250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 09/29/2011

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Directions to “ DAVID HYUNGJUN YI MD” Practice Location

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