Individual
YOGELD ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
Mailing address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041.510021
IL
367500000X
Certified Registered Nurse Anesthetist
664317
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2299879
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110125190A
—
MA
Enumeration date
05/18/2015
Last updated
11/14/2023
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