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NPI Code Detail

MEDICARE: TAMER YACOUB M.D.

MEDICARE: TAMER YACOUB M.D.
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician78697MA

General Provider Information

NPI Number : 1578557807
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMER YACOUB M.D.
Provider Business Mailing Address
First Line : 235 HANOVER ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-5246
Country : US
Telephone Number : 508-679-7742
Fax Number : 508-679-7768
Provider Business Practice Location Address
First Line : 235 HANOVER ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-5246
Country : US
Telephone Number : 508-679-7742
Fax Number : 508-679-7768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 04/02/2008

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Directions to “ TAMER YACOUB M.D.” Practice Location

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