Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 227352 | MA |
N | 111NI0900X | Internist | 227352 | MA |
Y | 207RI0200X | Infectious Disease | 227352 | MA |
N | 208000000X | Pediatrician | 227352 | MA |
NPI | 1013951656 |
---|---|
Provider Name | Dr. David Shoukry Yassa |
First Address | Boston, MA 02215-5501 |
Second Address | Boston, MA 02215-5501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 18/03/2020 |