Provider Demographics
NPI:1861426603
Name:YEON, SUSAN B (MD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:B
Last Name:YEON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:CARDIOVASCULAR DIVISON SH-4, BETH ISRAEL DEAC MED CTR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-4700
Mailing Address - Fax:
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:CARDIOVASCULAR DIVISON SH-4, BETH ISRAEL DEAC MED CTR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2012-05-31
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA58241207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease