Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 238427 | MA |
NPI | 1043421845 |
---|---|
Provider Name | Jie Yin |
First Address | Boston, MA 02241-5348 |
Second Address | Leominster, MA 01453-2238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 23/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2167832 | (05) | MA |