Organization
AIDA M YAVSHAYAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIDA M YAVSHAYAN (PROVIDER)
(617) 926-2220
Entity
Organization
Contact information
Practice address
375 MOUNT AUBURN ST, WATERTOWN, MA 02472-1930
(617) 926-2220
(617) 926-2230
Mailing address
375 MOUNT AUBURN ST, WATERTOWN, MA 02472-1930
(617) 926-2220
(617) 926-2230
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
150875
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3164080
—
MA
Enumeration date
05/23/2007
Last updated
08/22/2020
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