Provider Demographics
NPI:1538574488
Name:YANG, CHIH CHAO (MD, MPH, FACP)
Entity type:Individual
Prefix:DR
First Name:CHIH CHAO
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:MD, MPH, FACP
Other - Prefix:DR
Other - First Name:JUSTIN
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH, FACP
Mailing Address - Street 1:910 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3034
Mailing Address - Country:US
Mailing Address - Phone:650-796-1586
Mailing Address - Fax:
Practice Address - Street 1:110 W SQUANTUM ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171
Practice Address - Country:US
Practice Address - Phone:617-376-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-29
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA260345207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine