Individual
DR. YUMIKO ISHIZAWA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD PHD MPH
Contact information
Practice address
55 FRUIT ST, ANESTHESIA ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-3030
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
224094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103737
—
MA
01
—
468293
TUFTS HEALTH PLAN
MA
01
—
J28831
BCBS MA
MA
Enumeration date
11/14/2005
Last updated
07/09/2007
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