Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 275165 | MA |
NPI | 1033529748 |
---|---|
Provider Name | Dan Yoon |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2014 |
Last Update Date | 27/10/2020 |