MEDICARE: YONGLING BIAN M.D.

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	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	C1007127	DE

General Provider Information

NPI Number	:	1912907510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONGLING BIAN M.D.

Provider Business Mailing Address
First Line	:	701 N CLAYTON ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-3165
Country	:	US
Telephone Number	:	302-575-8092
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 N CLAYTON ST
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19805-3165
Country	:	US
Telephone Number	:	302-575-8092
Fax Number	:

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	11/29/2007

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