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Provider Information for 1457326803

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. AIDA M. YAVSHAYAN MD

Gender: FEMALE

Individual NPI: 1457326803

Calendar   Last Updated:  2012-01-11
  Certification Date: 

Details

Name Value
NPI 1457326803
Enumeration Date 2006-02-21
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 375 MOUNT AUBURN ST
WATERTOWN, MA 02472-1930
United States

Phone: 617-926-2220 | Fax: 617-926-2230
View Map External Link
Primary Practice Address 375 MOUNT AUBURN ST
WATERTOWN, MA 02472
United States

Phone: 617-926-2220 | Fax: 617-926-2230
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other UNITED HEALTH MA 1200057
Other HARVARD PILGRIM HLTH PLAN MA 201562
MEDICAID MA 3164080
Other CHILDREN'S MEDICAL SECURITY MA 26989
Other TUFTS MA 150875
Other AETNA MA 2836068
Other CIGNA MA 7969326002
Other NEIGHBORHOOD HEALTH PLAN MA 1457326803
Other BLUE CROSS BLUE SHIELD MA J17424
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics MA 150875