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Individual

JIADE YU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 STANIFORD ST, DERMATOLOGY 2ND FLOOR, BOSTON, MA 02114-2517
(804) 301-9948
Mailing address
50 STANIFORD ST STE 200, BOSTON, MA 02114-2543
(617) 726-2914

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
270837
MA
207N00000X
Dermatology Physician
61884 - 20
WI
207NP0225X
Pediatric Dermatology Physician
Primary
270837
MA
207NP0225X
Pediatric Dermatology Physician
MD457272
PA
208000000X
Pediatrics Physician
L-251567
MA

Other

Enumeration date
06/12/2012
Last updated
07/13/2021
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