Dr. Peter Yan, M.D., M.S.
in Milton, MA. Individual provider (NPI-1).
NPI number1649546367
StatusActive
Last updated in NPPESOct 31, 2019
Details
- NPI
- 1649546367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Peter Yan
- Credential
- M.D., M.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2012
- Last updated
- Oct 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | 281488 | MA | Yes | |
| 2083C0008X | Preventive Medicine, Clinical Informatics Specialist | 281488 | MA | |
| 2084N0400X | Psychiatry & Neurology, Neurology | 281488 | MA |
Practice location
199 Reedsdale RdMilton, MA 02186-3926
Phone 617-313-1445
Mailing address
1300 York AveSuite F-610
New York, NY 10065-4805
Phone 212-746-2323 · Fax 212-746-8532
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