Individual
BRYAN C YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-7124
Mailing address
2 MERIDIAN BLVD FL 3, WYOMISSING, PA 19610-3202
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
213779
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
213779
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01976865
—
NY
Enumeration date
07/20/2005
Last updated
04/01/2024
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