Provider Demographics
NPI:1801988704
Name:YUFIT, VLADIMIR P (MD)
Entity type:Individual
Prefix:
First Name:VLADIMIR
Middle Name:P
Last Name:YUFIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 MILL RD STE 180
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5255
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:1030 PRESIDENT AVE
Practice Address - Street 2:SUITE 1001
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5923
Practice Address - Country:US
Practice Address - Phone:508-973-9650
Practice Address - Fax:508-973-9655
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2020-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA157333207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110060166AMedicaid
MA110060166AMedicaid
MAA2861901Medicare PIN