Individual
JONATHAN P YRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
478 BRICK BLVD, BRICK, NJ 08723-6077
(732) 701-4848
(732) 701-1469
Mailing address
478 BRICK BLVD, BRICK, NJ 08723-6077
(732) 701-4848
(732) 701-1469
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
25MA077337000
NJ
208600000X
Surgery Physician
Primary
25MA07733700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043842
—
NJ
Enumeration date
07/18/2006
Last updated
08/22/2014
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