Individual
JESSICA YAKOBASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(000) 000-0000
Mailing address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12770500
NJ
Other
Enumeration date
03/25/2022
Last updated
12/16/2025
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