Basic Information
| Provider Information | |||||||||
| NPI: | 1427209972 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YATACO | ||||||||
| FirstName: | ALBERTO | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8600 LASALLE RD | ||||||||
| Address2: | SUITE 512 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212862001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103372525 | ||||||||
| FaxNumber: | 4103375112 | ||||||||
| Practice Location | |||||||||
| Address1: | 1220A E JOPPA RD | ||||||||
| Address2: | SUITE109 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212865812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102960018 | ||||||||
| FaxNumber: | 4102964106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2008 | ||||||||
| LastUpdateDate: | 10/02/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | D0050652 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
No ID Information.