Provider Demographics
NPI:1861816050
Name:YEH, JONATHAN CHONG-YEN (MD)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:CHONG-YEN
Last Name:YEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:PALLIATIVE CARE, YAMINS 100
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-667-1320
Mailing Address - Fax:617-667-2854
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:PALLIATIVE CARE, YAMINS 100
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-667-1320
Practice Address - Fax:617-667-2854
Is Sole Proprietor?:No
Enumeration Date:2014-02-10
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA282786207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine