Provider Demographics
NPI:1306814744
Name:TING, DAVID YUT-CHEE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:YUT-CHEE
Last Name:TING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-394-7500
Mailing Address - Fax:617-394-7576
Practice Address - Street 1:19-21 NORWOOD ST EVT
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-2709
Practice Address - Country:US
Practice Address - Phone:617-394-7500
Practice Address - Fax:617-394-7576
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA154604207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3170161Medicaid
MAJ18152OtherBCBS MA
MA154604OtherTUFTS HEALTH PLAN
MA154604OtherTUFTS HEALTH PLAN
G53214Medicare UPIN