Individual
DR. CHAN YEU PU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PULMONARY AT ST. ELIZABETH'S MEDICAL CENTER, 77 WARREN ST SUITE 200, BRIGHTON, MA 02135
(617) 789-2545
(617) 779-6991
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065720
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
290558
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
84537
WI
207RP1001X
Pulmonary Disease Physician
290558
MA
207RP1001X
Pulmonary Disease Physician
84537
WI
Other
Enumeration date
08/22/2014
Last updated
08/20/2025
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