Basic Information
| Provider Information | |||||||||
| NPI: | 1669441788 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YEH | ||||||||
| FirstName: | ERNEST | ||||||||
| MiddleName: | LESTER | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 8277783 | ||||||||
| Address2: | TEMPLE EMERGENCY MEDICAL ASSOCIATES | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191827783 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157075030 | ||||||||
| FaxNumber: | 2157073494 | ||||||||
| Practice Location | |||||||||
| Address1: | 3401 N BROAD STREET | ||||||||
| Address2: | TEMPLE UNIVERSITY HOSPITAL | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19140 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157075030 | ||||||||
| FaxNumber: | 2157073494 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2006 | ||||||||
| LastUpdateDate: | 01/20/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD069567L | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0018005640004 | 05 | PA | MEDICAID | 0275446000 | 01 | PA | INDEPENDENCE BC | OTHER | 467740 | 01 | PA | HIGHMARK BS | OTHER |