Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 285965 | MA |
Y | 111NI0900X | Internist | 285965 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD21523 | ME |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | MD21523 | ME |
NPI | 1225582349 |
---|---|
Provider Name | Dr. Matthew Yuyun |
First Address | Lexington, MA 02420-1412 |
Second Address | West Roxbury, MA 02132-4927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2016 |
Last Update Date | 30/07/2021 |