Provider Demographics
NPI:1154358711
Name:YOOD, STEVEN M (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:YOOD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 WORCESTER RD STE 102A
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-5354
Mailing Address - Country:US
Mailing Address - Phone:508-456-8217
Mailing Address - Fax:833-973-2480
Practice Address - Street 1:463 WORCESTER RD STE 102A
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5354
Practice Address - Country:US
Practice Address - Phone:508-456-8217
Practice Address - Fax:833-973-2480
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156590208600000X
CT037770208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00137770500Medicaid
CTG69687Medicare UPIN
CT020001704Medicare PIN
CT00137770500Medicaid