Organization
AUTUMN GRACE MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIH Y YEH M.D. (OWNER)
(978) 682-3939
Entity
Organization
Contact information
Practice address
188 BROADWAY, METHUEN, MA 01844-3862
(978) 682-3939
(978) 686-9494
Mailing address
188 BROADWAY, METHUEN, MA 01844-3862
(978) 682-3939
(978) 686-9494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
080819
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-10314
UNITED HEALTHCARE
MA
01
—
2609134
AETNA
MA
01
—
5667662
CIGNA
MA
01
—
625144
TUFTS
MA
01
—
65440
HARVARD PILGRIM
MA
01
—
91248
FALLON
MA
05
—
9734571
—
MA
01
—
M18876
BLUE CROSS
MA
Enumeration date
07/17/2006
Last updated
11/18/2014
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