Provider Demographics
NPI:1558467415
Name:YU, CECELIA TAI-LIN (MD)
Entity Type:Individual
Prefix:DR
First Name:CECELIA
Middle Name:TAI-LIN
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:373 NEW BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-5814
Mailing Address - Country:US
Mailing Address - Phone:508-679-0911
Mailing Address - Fax:508-536-0310
Practice Address - Street 1:373 NEW BOSTON RD
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5814
Practice Address - Country:US
Practice Address - Phone:508-679-0911
Practice Address - Fax:508-536-0310
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156624207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA07-00947OtherUNITED HEALTH CARE
MA3183777Medicaid
MA156624OtherTUFTS
MAB20787202OtherCIGNA
MA130983OtherHARVARD PILGRIM
MAJ19207OtherBLUECROSS AND BLUESHIELD
MAB20787202OtherCIGNA
MA3183777Medicaid