Individual
JAEYOUNG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 665-1000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
282393
MA
208M00000X
Hospitalist Physician
Primary
282393
MA
Other
Enumeration date
04/03/2017
Last updated
07/22/2020
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