Individual
DR. YUKA-MARIE VINAGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRIC CRITICAL CARE, WORCESTER, MA 01655-0002
(508) 853-2164
(508) 856-1062
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 368-3120
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
210814
MA
2080P0203X
Pediatric Critical Care Medicine Physician
210814
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011905
—
MA
Enumeration date
11/20/2005
Last updated
03/05/2021
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