Shorta Yuasa is a Addiction Medicine in Lowell, Massachusetts. Shorta Yuasa practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Shorta Yuasa is 1629024328. The last update date is 2015-12-15.
Shorta Yuasa's current location address is 295 Varnum Ave, Lowell, Massachusetts. You can contact this provider via phone number 9789376161. The mailing address for Shorta Yuasa is 295 Varnum Ave, Lowell, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shorta Yuasa |
|---|---|
| Address | 295 Varnum Ave, Lowell, Massachusetts |
| Phone Number | 9789376161 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629024328 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2015-12-15 |
Provider Mailing Address Detail
| Address | 295 Varnum Ave |
|---|---|
| City | Lowell |
| State | Massachusetts (MA) |
| Post Code | 18531802 |
| Phone Number | 9789376161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 153944 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J17924 | MA | BCBS | |
| 3171353 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Shorta Yuasa by the Centers for Medicare & Medicaid Services?
The Shorta Yuasa has been issued the NPI (National Provider Identifier) 1629024328. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shorta Yuasa is physically located?
The Shorta Yuasa is physically situated at the following address: 295 Varnum Ave, Lowell, MA, 18531802.
What is Shorta Yuasa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shorta Yuasa is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Ra0401X.
When did the Shorta Yuasa receive its 1629024328?
The Shorta Yuasa was issued its 1629024328 on 2006-05-25, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Shorta Yuasa last refreshed?
The information related to the Shorta Yuasa, including its address, specialty, and other relevant details, was last updated on 2015-12-15.