Individual
FRED YEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NHCNE GROTON, GROTON, CT 06340
(860) 694-6481
Mailing address
86 SCHOOL ST, GROTON, CT 06340-3941
(240) 731-8129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54505
CT
207R00000X
Internal Medicine Physician
D0061109
MD
207R00000X
Internal Medicine Physician
MD15165
RI
207RN0300X
Nephrology Physician
D0061109
MD
Other
Enumeration date
08/18/2005
Last updated
12/09/2024
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