Organization
EMAD YOUNAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD S YOUNAN M.D. (OWNER)
(978) 532-2657
Entity
Organization
Contact information
Practice address
25 CENTENNIAL DR, PEABODY, MA 01960-7901
(978) 532-2652
Mailing address
PO BOX 2190, WEST PEABODY, MA 01960-7190
(781) 231-7026
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274481
HARVARD PILGRIM HEALTHCAR
MA
01
—
602824
TUFTS HEALTH CARE
MA
05
—
9765450
—
MA
01
—
M18975
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
04/13/2006
Last updated
06/20/2008
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