Provider Demographics
NPI:1548477516
Name:TUFTS - NEW ENGLAND MEDICAL CENTER
Entity type:Organization
Organization Name:TUFTS - NEW ENGLAND MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MAKEYEV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-636-5000
Mailing Address - Street 1:1575 TREMONT ST
Mailing Address - Street 2:APT 612
Mailing Address - City:ROXBURY CROSSING
Mailing Address - State:MA
Mailing Address - Zip Code:02120-1677
Mailing Address - Country:US
Mailing Address - Phone:617-686-9015
Mailing Address - Fax:
Practice Address - Street 1:1575 TREMONT STREET
Practice Address - Street 2:APT 612
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120-1677
Practice Address - Country:US
Practice Address - Phone:617-636-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital