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Contact Information

MARYAM YEGANEGI, M.D., PH.D.
63 MAIN ST
BROCKTON, MA02301
 Phone: 508-559-6699
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARYAM YEGANEGI · (Female)

NPI # 1659759710
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 05/09/2015
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 278197
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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