Dr. Yisi Daisy Ji
Oral & Maxillofacial Surgeon
55 Fruit St
Boston
, Massachusetts 02114-2621
Dr. Yisi Daisy Ji
Oral & Maxillofacial Surgeon
55 Fruit St
Boston
, Massachusetts 02114-2621
(617) 726-2000
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Yisi Daisy Ji
- 55 Fruit St
- Boston, MA
- Zip : 02114-2621
- Phone : (617) 726-2000
Second Address
- Dr. Yisi Daisy Ji
- 55 Fruit St
- Boston, MA
- Zip : 02114-2621
- Phone : (617) 726-8222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | DL13654 | MA |
National Provider Identifier
| NPI | 1518452705 |
|---|---|
| Provider Name | Dr. Yisi Daisy Ji |
| First Address | Boston, MA 02114-2621 |
| Second Address | Boston, MA 02114-2621 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2018 |
| Last Update Date | 19/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.