Provider Demographics
NPI:1508035841
Name:MCCOLGAN, YUKO (MD)
Entity Type:Individual
Prefix:
First Name:YUKO
Middle Name:
Last Name:MCCOLGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YUKO
Other - Middle Name:
Other - Last Name:OZEKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1180 BEACON ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3806
Mailing Address - Country:US
Mailing Address - Phone:617-566-9856
Mailing Address - Fax:617-232-8086
Practice Address - Street 1:1180 BEACON ST STE 3B
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3806
Practice Address - Country:US
Practice Address - Phone:617-566-9856
Practice Address - Fax:617-232-8086
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234256207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine