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NPI Code Detail

MEDICARE: YU FAN

MEDICARE: YU FAN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588523096
Entity Type Code : Individual
Provider Name (Legal Business Name) : YU FAN
Provider Business Mailing Address
First Line : 301 BROADWAY
Second Line :
City : CHELSEA
State : MA
Zip : 02150-2807
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 BROADWAY
Second Line :
City : CHELSEA
State : MA
Zip : 02150-2807
Country : US
Telephone Number : 617-889-4860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ YU FAN ” Practice Location

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