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NPI Code Detail

MEDICARE: MATTHEW P YUSKAITIS MD

MEDICARE: MATTHEW P YUSKAITIS 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
1207Q00000XFamily Medicine PhysicianMD00031512WA

General Provider Information

NPI Number : 1750465464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW P YUSKAITIS MD
Provider Business Mailing Address
First Line : PO BOX 34472
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1472
Country : US
Telephone Number : 206-320-3364
Fax Number :
Provider Business Practice Location Address
First Line : 2450 33RD AVE W STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98199-3252
Country : US
Telephone Number : 206-320-3364
Fax Number : 206-320-5869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 09/19/2008

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Directions to “ MATTHEW P YUSKAITIS MD” Practice Location

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