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NPI Code Detail

MEDICARE: BRYAN C YEN MD

MEDICARE: BRYAN C YEN 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 Physician213779NY
22085R0204XVascular & Interventional Radiology Physician213779NY

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 : 1598764615
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN C YEN MD
Provider Business Mailing Address
First Line : 2 MERIDIAN BLVD FL 3
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-3202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 64 ROBBINS ST
Second Line :
City : WATERBURY
State : CT
Zip : 06708-2613
Country : US
Telephone Number : 203-573-7124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 04/01/2024

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Directions to “ BRYAN C YEN MD” Practice Location

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