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Individual

HAROLD T. YAMASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2980
(860) 679-4334
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
022375
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1223750
CT
Enumeration date
07/01/2005
Last updated
09/26/2022
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