Individual
TAKAHIRO YAMAGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 MASSACHUSETTS AVE FL 7, BOSTON, MA 02118-2605
(617) 414-5946
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-4505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
287972
MA
208000000X
Pediatrics Physician
LP04355
RI
Other
Enumeration date
06/07/2018
Last updated
01/17/2026
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