Provider Demographics
NPI:1215148275
Name:JOHN F YEE, MD, PC
Entity type:Organization
Organization Name:JOHN F YEE, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:YEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-387-3330
Mailing Address - Street 1:596 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-3743
Mailing Address - Country:US
Mailing Address - Phone:617-387-3330
Mailing Address - Fax:617-387-0827
Practice Address - Street 1:596 BROADWAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-3743
Practice Address - Country:US
Practice Address - Phone:617-387-3330
Practice Address - Fax:617-387-0827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA703418OtherTUFTS
MA7668OtherHARVARD PILGRAM
MA9726829Medicaid
M13208Medicare PIN
MA703418OtherTUFTS