Provider Demographics
NPI:1891079836
Name:MORAN, YUELING GUO (MD)
Entity Type:Individual
Prefix:DR
First Name:YUELING
Middle Name:GUO
Last Name:MORAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:YUELING
Other - Middle Name:
Other - Last Name:GUO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1611 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4302
Mailing Address - Country:US
Mailing Address - Phone:617-661-5100
Mailing Address - Fax:617-661-5226
Practice Address - Street 1:1611 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4302
Practice Address - Country:US
Practice Address - Phone:617-661-5100
Practice Address - Fax:617-661-5226
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA254152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine