Provider Demographics
NPI:1932604717
Name:YANG, SOPHIA (MD)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:
Last Name:YANG
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 1:300 MT AUBURN ST
Mailing Address - Street 2:PARSONS 2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5600
Mailing Address - Country:US
Mailing Address - Phone:781-893-5550
Mailing Address - Fax:
Practice Address - Street 1:355 WAVERLY OAKS RD STE 275
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8477
Practice Address - Country:US
Practice Address - Phone:781-893-5550
Practice Address - Fax:781-893-0450
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA164737207V00000X
MA1023687207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology