Provider Demographics
NPI:1841236791
Name:YING, HOWARD (MD,PHD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:YING
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 JFK ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4916
Mailing Address - Country:US
Mailing Address - Phone:617-657-9464
Mailing Address - Fax:617-491-0470
Practice Address - Street 1:5 JFK ST STE 302
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4916
Practice Address - Country:US
Practice Address - Phone:617-657-9464
Practice Address - Fax:617-491-0470
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261272207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110128931AMedicaid
MD400473600Medicaid
MDH66589Medicare UPIN