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Individual

DR. AIDA M. YAVSHAYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
375 MOUNT AUBURN ST, WATERTOWN, MA 02472
(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
01
1200057
UNITED HEALTH
MA
01
1457326803
NEIGHBORHOOD HEALTH PLAN
MA
01
150875
TUFTS
MA
01
201562
HARVARD PILGRIM HLTH PLAN
MA
01
26989
CHILDREN'S MEDICAL SECURITY
MA
01
2836068
AETNA
MA
05
3164080
MA
01
7969326002
CIGNA
MA
01
J17424
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/21/2006
Last updated
01/11/2012
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