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NPI Code Detail

MEDICARE: DEBRA YAVNER MD

MEDICARE: DEBRA YAVNER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology Physician53925MA

General Provider Information

NPI Number : 1902896830
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA YAVNER MD
Provider Business Mailing Address
First Line : 29 SADDLE RIDGE RD
Second Line :
City : SUDBURY
State : MA
Zip : 01776-2770
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 29 SADDLE RIDGE RD
Second Line :
City : SUDBURY
State : MA
Zip : 01776-2770
Country : US
Telephone Number : 978-443-6046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2005
Last Update Date : 09/06/2023

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Directions to “ DEBRA YAVNER MD” Practice Location

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