Individual
MYRON YASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6353
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 955-2393
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D28118
MD
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
D28118
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
D28118
MD
208VP0014X
Interventional Pain Medicine Physician
D28118
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317121300
—
MD
Enumeration date
06/25/2006
Last updated
02/01/2013
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