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Individual

YAEL DVIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
55 LAKE AVE N, DEPARTMENT OF PSYCHIATRY, WORCESTER, MA 01655-0002
(774) 442-2263
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
235318
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
235318
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110090224A
MA
Enumeration date
01/16/2007
Last updated
11/22/2020
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