Provider Demographics
NPI:1700802212
Name:YE, XIAODAN (MD)
Entity type:Individual
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First Name:XIAODAN
Middle Name:
Last Name:YE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-342-3150
Mailing Address - Fax:856-968-8418
Practice Address - Street 1:ONE COOPER PLAZA
Practice Address - Street 2:THE COOPE HOSPITALIST TEAM
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1489
Practice Address - Country:US
Practice Address - Phone:856-342-3150
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2017-01-03
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Provider Licenses
StateLicense IDTaxonomies
NJMA070426207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H17348Medicare UPIN