Cornelius Yetman D.O.

NPI 1144415548 - Internal Medicine - 207R00000X

NPI Details
NPI 1144415548
Gender Male
Enumeration Date 09/09/2007
Last Updated 01/05/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
4 GLEN COVE DR
SUITE 202
ROCKPORT ME, 04856-4235, US
Phone (207) 593-5800
Fax (207) 593-5332
Business Location
4 GLEN COVE DR
SUITE 202
ROCKPORT ME, 04856-4235, US
Phone (207) 593-5800
Fax (207) 593-5332
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 228980
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According to our database, Cornelius Yetman D.O. NPI is 1144415548, taxonomy code is 207R00000X and license number is 228980, license state is located at Massachusetts. Cornelius Yetman D.O. physically located at 4 Glen Cove Dr, Rockport ME, 04856-4235. NPI Number Cornelius Yetman D.O. has the Individual type.

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1144415548 NPI number is provided on an as is basis without warranty of any kind. 1144415548 is maintained by the National Plan & Provider Enumeration System. The contents of Cornelius Yetman D.O. are for informational purposes only.