Yang, Tao

Yang, Tao is an individual health care provider with primary practice located at 640 Memorial Dr , Cambridge MA 02139-4853. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Yang, Tao can be contacted via phone (781) 255-0555.

Contact Information

Primary practice address
640 Memorial Dr Cambridge MA 02139-4853
Fax: (781) 255-0594
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 213421 Massachusetts

Profile Details

NPI number 1740278985
LBN Legal business name Yang, Tao
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740278985 NPPES
Massachusetts MEDICAID 2012855

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