Healthcare Provider Details

I. General information

NPI: 1942391891
Provider Name (Legal Business Name): DR. MICHAEL YUNES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2621
US

IV. Provider business mailing address

15 PINE MEADOW DR
SOUTHAMPTON MA
01073-9701
US

V. Phone/Fax

Practice location:
  • Phone: 617-699-5432
  • Fax:
Mailing address:
  • Phone: 617-699-5432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number220164
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number220164
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: