Provider Demographics
NPI:1427209972
Name:YATACO, ALBERTO R (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:R
Last Name:YATACO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8600 LASALLE RD
Mailing Address - Street 2:SUITE 512
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2001
Mailing Address - Country:US
Mailing Address - Phone:410-337-2525
Mailing Address - Fax:410-337-5112
Practice Address - Street 1:1220A E JOPPA RD
Practice Address - Street 2:SUITE109
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5812
Practice Address - Country:US
Practice Address - Phone:410-296-0018
Practice Address - Fax:410-296-4106
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0050652207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine