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NPI Code Detail

MEDICARE: PEIYUN NI MD

MEDICARE: PEIYUN NI 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
1207RG0100XGastroenterology Physician1018921MA

General Provider Information

NPI Number : 1386270304
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEIYUN NI MD
Provider Business Mailing Address
First Line : 55 FRUIT ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-2621
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 FRUIT ST
Second Line :
City : BOSTON
State : MA
Zip : 02114-2696
Country : US
Telephone Number : 617-726-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2020
Last Update Date : 03/17/2026

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Directions to “ PEIYUN NI MD” Practice Location

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