Provider Demographics
NPI:1437181955
Name:YEH, GLORIA Y (MD)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:Y
Last Name:YEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7422
Mailing Address - Country:US
Mailing Address - Phone:617-384-8550
Mailing Address - Fax:
Practice Address - Street 1:401 PARK DR
Practice Address - Street 2:SUITE 22A
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3325
Practice Address - Country:US
Practice Address - Phone:617-384-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203596207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine