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NPI Code Detail

MEDICARE: DR. JUDY Z YANG M.D.

MEDICARE:  DR. JUDY Z YANG  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
1207R00000XInternal Medicine Physician216675MA

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 : 1205818721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDY Z YANG M.D.
Provider Business Mailing Address
First Line : 2014 WASHINGTON ST
Second Line :
City : NEWTON
State : MA
Zip : 02462-1607
Country : US
Telephone Number : 617-243-5155
Fax Number : 617-243-5090
Provider Business Practice Location Address
First Line : 2014 WASHINGTON ST
Second Line :
City : NEWTON
State : MA
Zip : 02462-1607
Country : US
Telephone Number : 617-243-5155
Fax Number : 617-243-5090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 02/12/2013

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Directions to “ DR. JUDY Z YANG M.D.” Practice Location

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