Individual
YING YING MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
170 GOVERNORS AVE, MEDFORD, MA 02155-1643
(781) 979-2424
(781) 338-7557
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN271448
MA
Other
Enumeration date
12/28/2015
Last updated
03/14/2025
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