Provider Demographics
NPI:1952837981
Name:YU, PHOEBE (MD, MPH)
Entity type:Individual
Prefix:
First Name:PHOEBE
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:PHOEBE
Other - Middle Name:
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 PACIFIC ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4568
Mailing Address - Country:US
Mailing Address - Phone:908-208-2098
Mailing Address - Fax:
Practice Address - Street 1:243 CHARLES ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3002
Practice Address - Country:US
Practice Address - Phone:617-573-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA1021378207YS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program