Individual
GEOFFREY S YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115
(617) 732-7260
Mailing address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115
(617) 732-7260
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
152169
MA
2085R0202X
Diagnostic Radiology Physician
152169
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067251
—
MA
01
—
467597
TUFTS HEALTH CARE
MA
01
—
J28146
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/10/2006
Last updated
09/12/2012
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