Provider Demographics
NPI:1689991895
Name:MORE, YOGESH INDRASEN (MD)
Entity type:Individual
Prefix:DR
First Name:YOGESH
Middle Name:INDRASEN
Last Name:MORE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:736 CAMBRIDGE ST
Mailing Address - Street 2:ST ELIZABETH'S HOSPITAL, OTOLARYNGOLOGY, SMC 8
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2907
Mailing Address - Country:US
Mailing Address - Phone:617-779-6445
Mailing Address - Fax:617-789-5088
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:ST ELIZABETH'S HOSPITAL, OTOLARYNGOLOGY, SMC 8
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-779-6445
Practice Address - Fax:617-789-5088
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
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Provider Licenses
StateLicense IDTaxonomies
MA242985207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology