| Yang Tms Center Of The Main Line | |
|
940 E Haverford Rd Ste 201b Bryn Mawr PA 19010-3845 | |
| (610) 520-1128 | |
| Not Available |
| Full Name | Yang Tms Center Of The Main Line |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 940 E Haverford Rd Ste 201b, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Jingduan Yang (SOLE OWNER) |
| Authorized Official Contact | 6105201128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yang Tms Center Of The Main Line 940 E Haverford Rd Ste 201b Bryn Mawr PA 19010-3845 Ph: (610) 520-1128 | Yang Tms Center Of The Main Line 940 E Haverford Rd Ste 201b Bryn Mawr PA 19010-3845 Ph: (610) 520-1128 |
| NPI Number | 1235648650 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 11/15/2019 |
| Medicare PECOS PAC ID | 4880956754 |
|---|---|
| Medicare Enrollment ID | O20180313002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235648650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jingduan Yang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356566905 PECOS PAC ID: 3779483557 Enrollment ID: I20040109000168 |
| Provider Name | Mark B Famador |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184890436 PECOS PAC ID: 0143366781 Enrollment ID: I20091012000476 |
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