Provider Demographics
NPI:1407810856
Name:YEE, JOHN FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:FRANCIS
Last Name:YEE
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 1:596 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-3743
Mailing Address - Country:US
Mailing Address - Phone:617-387-3330
Mailing Address - Fax:617-387-0827
Practice Address - Street 1:596 BROADWAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-3743
Practice Address - Country:US
Practice Address - Phone:617-387-3330
Practice Address - Fax:617-387-0827
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39756208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7668OtherHARVARD PILGRAM HEALTHCAR
MA9726829Medicaid
MA703418OtherTUFTS HEALTHCARE
MAM13208OtherBLUE CROSS BLUE SHIELD OF
MAM13208OtherBLUE CROSS BLUE SHIELD OF
MA703418OtherTUFTS HEALTHCARE