Provider Demographics
NPI:1144203985
Name:YOCK, TORUNN (MD)
Entity Type:Individual
Prefix:DR
First Name:TORUNN
Middle Name:
Last Name:YOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-1836
Mailing Address - Fax:617-724-4808
Practice Address - Street 1:100 BLOSSOM ST
Practice Address - Street 2:COX 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2606
Practice Address - Country:US
Practice Address - Phone:617-724-1548
Practice Address - Fax:617-726-3603
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2039672085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2005701Medicaid
MAJ25990OtherBCBS MA
MA203967OtherTUFTS HEALTH PLAN
MA203967OtherTUFTS HEALTH PLAN
H84515Medicare UPIN