Individual
KATHERINE L. YUTANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1030 PRESIDENT AVENUE, SUITE 1001, SOUTHCOAST PHYSICIAN SERVICES, INC., FALL RIVER, MA 02720
(508) 730-3000
(508) 730-3071
Mailing address
370 FAUNCE CORNER ROAD, SOUTHCOAST PHYSICIAN SERVICES, INC., NORTH DARTMOUTH, MA 02747
(508) 985-2000
(508) 985-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208109
MA
207R00000X
Internal Medicine Physician
MD10484
RI
208M00000X
Hospitalist Physician
208109
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29885-2
BC/BS
RI
01
—
408877
BLUECHIP
RI
05
—
9023138
—
RI
Enumeration date
10/28/2005
Last updated
09/15/2009
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