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NPI Code Detail

MEDICARE: VARTAN YEGHIAZARIANS MD

MEDICARE: VARTAN YEGHIAZARIANS 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
1207R00000XInternal Medicine Physician150516MA
2207R00000XInternal Medicine Physician9895NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J17287OTHERMABCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134130735
Entity Type Code : Individual
Provider Name (Legal Business Name) : VARTAN YEGHIAZARIANS MD
Provider Business Mailing Address
First Line : 411 MERRIMACK ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-5821
Country : US
Telephone Number : 978-685-5627
Fax Number : 978-688-3987
Provider Business Practice Location Address
First Line : 411 MERRIMACK ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-5821
Country : US
Telephone Number : 978-685-5627
Fax Number : 978-688-3987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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Directions to “ VARTAN YEGHIAZARIANS MD” Practice Location

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