Most Relevant Information
Provider Data
NPI Number: | 1003505603 |
Provider Name: | YAZAN KADKOY MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 05/01/2023 |
Last Updated: | 05/01/2023 |
Provider Practice Location
140 BERGEN ST STE D-1610
NEWARK
NJ
071032425
Practice Location Phone/Fax
Phone: | 9739725350 |
Fax: |
Provider Mailing Location
140 BERGEN ST STE D-1610
NEWARK
NJ
071032425
Provider Mailing Phone/Fax
Phone: | |
Fax: |