Provider Demographics
NPI:1598711285
Name:YU, JING (MD)
Entity Type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6 ESSEX CENTER DR
Mailing Address - Street 2:STE 201
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2906
Mailing Address - Country:US
Mailing Address - Phone:978-558-4050
Mailing Address - Fax:978-871-2792
Practice Address - Street 1:6 ESSEX CENTER DR STE 201
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2906
Practice Address - Country:US
Practice Address - Phone:978-558-4050
Practice Address - Fax:781-570-2570
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA208461207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0127485Medicaid
H32897Medicare UPIN
MA0127485Medicaid