Individual
DR. TIAN YOU AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, BOSTON, MA 02114
(617) 963-4646
Mailing address
175 BLOSSOM STREET, APT 1402, BOSTON, MA 02114
(617) 901-2928
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10199
ZZ
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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