Provider Demographics
NPI:1194952648
Name:YEUNG, HELEN H (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:H
Last Name:YEUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HAWTHORNE PL STE 110
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2335
Mailing Address - Country:US
Mailing Address - Phone:617-227-3011
Mailing Address - Fax:617-227-9538
Practice Address - Street 1:8 HAWTHORNE PL STE 110
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2335
Practice Address - Country:US
Practice Address - Phone:617-227-3011
Practice Address - Fax:617-227-9538
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT55168207W00000X
DCMD043128207W00000X
MA270011207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA$$$$$$$$$OtherTAX ID (OR SOCIAL SECURITY NUMBER)