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Individual

DR. JIE YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Contact information

Practice address
330 WASHINGTON ST STE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262
Mailing address
330 WASHINGTON ST, SUITE 220, NORWICH, CT 06360-2700
(860) 886-8362
(860) 886-9262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0062973
MD
207RH0003X
Hematology & Oncology Physician
Primary
045298
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001452987
CT
01
010045298CT01
BLUE CROSS BLUE SHIELD
CT
01
9906067
AETNA
CT
Enumeration date
11/21/2006
Last updated
12/31/2009
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