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NPI Code Detail

MEDICARE: CLIFFORD YANG MD

MEDICARE: CLIFFORD YANG 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
12085R0202XDiagnostic Radiology Physician040572CT

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 : 1295730976
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLIFFORD YANG MD
Provider Business Mailing Address
First Line : 263 FARMINGTON AVE
Second Line : PROVIDER ENROLLMENT - DOWLING SOUTH
City : FARMINGTON
State : CT
Zip : 06030-2212
Country : US
Telephone Number : 860-679-7503
Fax Number : 860-679-1610
Provider Business Practice Location Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-7503
Fax Number : 860-679-1610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 09/20/2022

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Directions to “ CLIFFORD YANG MD” Practice Location

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