Individual
TONY YAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6700 RIDGE RD, SUITE 3, BALTIMORE, MD 21237
(410) 391-3434
(410) 574-7574
Mailing address
6700 RIDGE RD, SUITE 3, BALTIMORE, MD 21237-3960
(410) 391-3434
(410) 574-7574
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MDD002366018
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781651100
—
MD
Enumeration date
05/22/2006
Last updated
08/13/2011
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