MEDICARE: DR. VIVIAN MING-WEI YEH D.D.S, M.S.

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
1	1223P0700X	Prosthodontics	22DI02306700	NJ

General Provider Information

NPI Number	:	1760576466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIVIAN MING-WEI YEH D.D.S, M.S.

Provider Business Mailing Address
First Line	:	37 OSPREY DR
Second Line	:
City	:	OLD BRIDGE
State	:	NJ
Zip	:	08857-3593
Country	:	US
Telephone Number	:	732-662-5041
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 ANDERSON AVE
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-2748
Country	:	US
Telephone Number	:	201-585-0847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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