Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 266968 | MA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MT222150 | PA |
NPI | 1053767954 |
---|---|
Provider Name | Joseph Lawrence Yellin |
First Address | Philadelphia, PA 19104-4319 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2016 |
Last Update Date | 15/07/2021 |