Provider Demographics
NPI:1033501945
Name:EMAD YOUNAN, MD, PC
Entity Type:Organization
Organization Name:EMAD YOUNAN, MD, PC
Other - Org Name:PAIN CENTER OF THE NORTH SHORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-532-2650
Mailing Address - Street 1:84 NEWBURY ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3806
Mailing Address - Country:US
Mailing Address - Phone:978-532-2650
Mailing Address - Fax:978-532-2652
Practice Address - Street 1:84 NEWBURY ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-3806
Practice Address - Country:US
Practice Address - Phone:978-532-2650
Practice Address - Fax:978-532-2652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty