Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 52527 | MA |
Y | 111NI0900X | Internist | 52527 | MA |
N | 207RG0300X | Geriatric Medicine | 52527 | MA |
NPI | 1043268964 |
---|---|
Provider Name | Mark J Yurkofsky |
First Address | Boston, MA 02109-4806 |
Second Address | Boston, MA 02215-3904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 28/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011308 | NEIGHBORHOOD HEALTH (01) | MA |
052527 | TUFTS (01) | MA |
6182836 | (05) | MA |
A57096 | (02) | MA |
J03674 | BLUE CROSS (01) | MA |
M419 | HARVARD PILGRIM (01) | MA |