Individual
REUVEN YAKUBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 RETREAT AVE, SUITE 605, HARTFORD, CT 06106-2528
(860) 244-0148
(860) 493-1852
Mailing address
100 RETREAT AVE, HARTFORD, CT 06106-2528
(860) 244-0148
(860) 493-1852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046550
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046550
LICENSE
CT
Enumeration date
06/03/2008
Last updated
06/03/2008
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