Provider Demographics
NPI:1619109196
Name:YARCHIM, DOLMA TSERING (DO)
Entity Type:Individual
Prefix:
First Name:DOLMA
Middle Name:TSERING
Last Name:YARCHIM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 WHEATLAND ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02145-2020
Mailing Address - Country:US
Mailing Address - Phone:617-623-9590
Mailing Address - Fax:
Practice Address - Street 1:725 NORTH ST
Practice Address - Street 2:BERKSHIRE HEALTH SYSTEMS, DEPARTMENT OF MEDICINE
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4109
Practice Address - Country:US
Practice Address - Phone:413-447-2839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237810207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine