Provider Demographics
NPI:1326037235
Name:YOFFE, KENNETH B (MD PHD)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:B
Last Name:YOFFE
Suffix:
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:221 BOSTON RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2321
Mailing Address - Country:US
Mailing Address - Phone:978-667-9611
Mailing Address - Fax:978-667-2282
Practice Address - Street 1:221 BOSTON RD
Practice Address - Street 2:SUITE 8
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2321
Practice Address - Country:US
Practice Address - Phone:978-667-9611
Practice Address - Fax:978-667-2282
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2012-05-25
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Provider Licenses
StateLicense IDTaxonomies
MA213940208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA204560OtherHARVARD PILGRIM
MA213940OtherTUFTS HEALTH PLAN
975344OtherNETWORK HEALTH PLAN
48774OtherSIGNA
MAJ25126OtherBCBS
0027053OtherNEIGHBORHOOD HEALTH PLAN
MA0197513Medicaid
MA2948931OtherAETNA
MA0197513OtherMASS HEALTH
975344OtherNETWORK HEALTH PLAN
MA204560OtherHARVARD PILGRIM