Provider Demographics
NPI:1750394581
Name:YURKOVETSKY, NATALIA D (MD)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:D
Last Name:YURKOVETSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 NEW CROSSING RD STE 205
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3271
Mailing Address - Country:US
Mailing Address - Phone:978-694-8999
Mailing Address - Fax:781-213-5122
Practice Address - Street 1:30 NEW CROSSING RD STE 205
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3271
Practice Address - Country:US
Practice Address - Phone:978-694-8999
Practice Address - Fax:781-213-5122
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT044679207R00000X
MA236831207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110080441AMedicaid
MA110080441AMedicaid