Provider Demographics
NPI:1457340911
Name:YOUNG, SERENA J (MD)
Entity Type:Individual
Prefix:
First Name:SERENA
Middle Name:J
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1094 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5255
Mailing Address - Country:US
Mailing Address - Phone:781-890-9933
Mailing Address - Fax:781-890-9950
Practice Address - Street 1:80 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-3235
Practice Address - Country:US
Practice Address - Phone:603-527-4500
Practice Address - Fax:603-527-4505
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2023-08-29
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Provider Licenses
StateLicense IDTaxonomies
MA212479207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA173953OtherHPHC
MAJ25935OtherBCBS
MA2004101Medicaid
MA212479OtherTUFTS
MAA35858Medicare ID - Type Unspecified
MAJ25935OtherBCBS