Doctor Name: | EDWARD YE |
NPI Number: | 1003922071 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 1906 |
Business Practice Address: | 85 South St Ware, MA - 010821667 |
Business Phone Number: | 4137944711 |
Business Fax Number: | 4137941629 |
Mailing Address: | 280 Chestnut St, 2nd Floor SPRINGFIELD |
State: | MA |
Postal Code: | 011991000 |
Phone Number: | 4137945700 |
Fax Number: | 4137941629 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |