Individual
MR. JUSTIN YDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
776 NORTHFIELD AVE STE 101, WEST ORANGE, NJ 07052-1140
(973) 324-2300
Mailing address
776 NORTHFIELD AVE STE 101, WEST ORANGE, NJ 07052-1140
(908) 315-9055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ14981300
NJ
Other
Enumeration date
12/28/2023
Last updated
08/01/2024
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