Individual
EVGENY YAKIREVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, DEPARTMENT OF PATHOLOGY RIH APC 12, PROVIDENCE, RI 02903-4923
(401) 444-5057
(401) 444-8514
Mailing address
593 EDDY ST, DEPARTMENT OF PATHOLOGY RIH APC 12, PROVIDENCE, RI 02903-4923
(401) 444-5057
(401) 444-8514
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD12596
RI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD12596
RI
Other
Enumeration date
04/20/2007
Last updated
04/02/2008
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