Individual
MARK J YURKOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
(617) 421-6084
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52527
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
52527
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011308
NEIGHBORHOOD HEALTH
MA
01
—
052527
TUFTS
MA
05
—
6182836
—
MA
01
—
J03674
BLUE CROSS
MA
01
—
M419
HARVARD PILGRIM
MA
Enumeration date
05/04/2006
Last updated
02/28/2013
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