Provider Demographics
NPI:1962185009
Name:TSUKIOKA, YUSUKE (MD, MPH)
Entity type:Individual
Prefix:
First Name:YUSUKE
Middle Name:
Last Name:TSUKIOKA
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:110 FRANCIS ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5501
Mailing Address - Country:US
Mailing Address - Phone:617-632-8383
Mailing Address - Fax:617-632-7562
Practice Address - Street 1:BETH ISRAEL DEACONESS MEDICAL CENTER
Practice Address - Street 2:110 FRANCIS STREET, SUITE 2A, MA 02215-5501
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-632-8383
Practice Address - Fax:617-632-7562
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2024-04-25
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.081096208G00000X
MA5001479208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)