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NPI Code Detail

MEDICARE: YING GENG M.D.

MEDICARE:   YING  GENG  M.D.
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
12084N0400XNeurology Physician252314MA

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 : 1174898118
Entity Type Code : Individual
Provider Name (Legal Business Name) : YING GENG M.D.
Provider Business Mailing Address
First Line : 960 MASSACHUSETTS AVE STE 2
Second Line :
City : BOSTON
State : MA
Zip : 02118-2690
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 736 CAMBRIDGE ST
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-2907
Country : US
Telephone Number : 617-789-2375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2012
Last Update Date : 05/05/2026

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Directions to “ YING GENG M.D.” Practice Location

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