Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60222860 | WA |
N | 111NI0900X | Internist | MD60222860 | WA |
N | 207RC0200X | Critical Care Medicine | 254525 | MA |
Y | 207RP1001X | Pulmonary Disease | 254525 | MA |
NPI | 1083842231 |
---|---|
Provider Name | Dr. Samuel Yoffe Ash |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 08/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0295073 | L&I (01) | WA |
1083842231 | (05) | WA |
254525 | MEDICAL LICENSE (01) | MA |
MD60222860 | MEDICAL LICENSE (01) | WA |