Individual
AMY FAN-YEE JULIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3842
Mailing address
243 CHARLES ST, DEPT OF RADIOLOGY, BOSTON, MA 02114-3002
(617) 573-3842
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
224257
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104458
—
MA
01
—
468238
TUFTS HEALTH CARE
MA
01
—
J28782
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/15/2005
Last updated
12/30/2009
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