Individual
DR. QIAN YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 WASHINGTON STREET, SUITE 466, NEWTON LOWER FALLS, MA 02462
(617) 969-8989
(617) 928-0178
Mailing address
2000 WASHINGTON STREET, SUITE 466, NEWTON LOWER FALLS, MA 02462
(617) 969-8989
(617) 928-0178
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209229
MA
2080P0206X
Pediatric Gastroenterology Physician
209229
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037751
—
MA
01
—
468584
TUFTS HEALTH PLAN
MA
01
—
J26557
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
04/24/2012
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