Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 20670 | NH |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 285024 | MA |
NPI | 1104117449 |
---|---|
Provider Name | Chi-Fu Jeffrey Yang |
First Address | Boston, MA 02114-2696 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2011 |
Last Update Date | 12/11/2020 |