Provider Demographics
NPI:1376611210
Name:YEUNG, MELISSA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:Y
Last Name:YEUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:221 LONGWOOD AVE
Mailing Address - Street 2:LM305
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5804
Mailing Address - Country:US
Mailing Address - Phone:617-525-8005
Mailing Address - Fax:617-732-5254
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:MRB-4, RENAL DIVISON
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-525-8005
Practice Address - Fax:617-732-5254
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2013-08-29
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Provider Licenses
StateLicense IDTaxonomies
MEEC-06-1099207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine