Emily Y Fan, MD
Healthcare Provider in Worcester, Massachusetts
1457856239- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-856-5599
- Fax
- 508-856-8329
- Last updated
- June 8, 2023
Emily Yunxi Fan is a Healthcare Provider based in Worcester, MA. Emily Yunxi Fan practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Emily Yunxi Fan is 1457856239 and holds a License No. 1013718 (MA). The current practice location address for Emily Yunxi Fan is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-856-5599 and via fax at 508-856-8329.
Provider Profile Details
- NPI Number
- 1457856239
- Provider Name
- Emily Yunxi Fan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-856-5599
- Fax Number
- 508-856-8329
- Primary Taxonomy
- Healthcare Provider · 2086S0129X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2018
- Last Update Date
- June 8, 2023
- Certification Date
- June 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-856-5599
- Fax Number
- 508-856-8329
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 1013718
- License State (2)
- MA
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Healthcare Providers near Worcester, MA
View all Healthcare Providers in Worcester →Frequently Asked Questions
What is the NPI number of Emily Y Fan, MD?
The NPI number of Emily Y Fan, MD is 1457856239. It was assigned on March 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Emily Y Fan, MD?
Emily Y Fan, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in MA under license number 1013718.
Where does Emily Y Fan, MD practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-856-5599 (phone) or 508-856-8329 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457856239 directly on the NPPES registry website.