Individual
DR. STEPHANIE YACOUBIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8210
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8210
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
242795
MA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
MA
Other
Enumeration date
03/20/2008
Last updated
05/22/2014
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