Individual
RAM P YADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MAIN ST, MEDFORD, MA 02155-7102
(781) 391-2440
Mailing address
20 SUMMER ST APT 903, MALDEN, MA 02148-3914
(573) 639-0497
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858824
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
09/02/2020
Last updated
10/03/2023
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