Provider Demographics
NPI:1740564665
Name:YUIL MEDICAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:YUIL MEDICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YUIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-682-3233
Mailing Address - Street 1:37 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-3501
Mailing Address - Country:US
Mailing Address - Phone:978-682-3233
Mailing Address - Fax:978-682-7312
Practice Address - Street 1:37 CEDAR ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-3501
Practice Address - Country:US
Practice Address - Phone:978-682-3233
Practice Address - Fax:978-682-7312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47382261Q00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center