Provider Demographics
NPI:1760060107
Name:YU, ZIZI (MD)
Entity type:Individual
Prefix:
First Name:ZIZI
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LAUREL AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-7536
Mailing Address - Country:US
Mailing Address - Phone:203-980-1532
Mailing Address - Fax:781-235-2855
Practice Address - Street 1:10 LAUREL AVE STE 300
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-7536
Practice Address - Country:US
Practice Address - Phone:781-235-8155
Practice Address - Fax:781-235-2855
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-29
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1022104207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty