NPI Registry.org

Amanda Yacoub

NPI Registration Record

Provider / OrganizationNPIDate Certified
AMANDA YACOUB13367248972021-11-21

Amanda Yacoub is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1336724897. Registration indicates Amanda Yacoub is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Amanda Yacoub
Practice Office Address1340 BOYLSTON ST
BOSTON, MA US
Practice Office Telephone6172670900
Mailing Address1340 BOYLSTON ST
BOSTON, MA 022154302 US
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes
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