Provider Demographics
NPI:1154307254
Name:YARDLEY, JANET O (MD)
Entity Type:Individual
Prefix:MISS
First Name:JANET
Middle Name:O
Last Name:YARDLEY
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1493 CAMBRIDGE ST
Mailing Address - Street 2:MACHT B10
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-1047
Mailing Address - Country:US
Mailing Address - Phone:617-665-1000
Mailing Address - Fax:617-665-1976
Practice Address - Street 1:1493 CAMBRIDGE ST
Practice Address - Street 2:MACHT B10
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1047
Practice Address - Country:US
Practice Address - Phone:617-665-1000
Practice Address - Fax:617-665-1976
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2014-01-14
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Provider Licenses
StateLicense IDTaxonomies
MA54000208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ0449504Medicare PIN