Individual
DR. TSUNEHIRO YASUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WHT 289 RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-2696
(617) 643-1552
(617) 643-1639
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 643-1552
(617) 643-1639
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
40368
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040368
TUFTS HEALTH PLAN
MA
05
—
2056437
—
MA
01
—
M09584
BCBS MA
MA
Enumeration date
11/09/2005
Last updated
07/23/2012
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