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Individual

DR. PATRICK VAN MARTIN-YEBOAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
185 CENTRAL AVE, SUITE 601, EAST ORANGE, NJ 07018-3332
(973) 944-1089
(973) 866-0023
Mailing address
PO BOX 3155, EAST ORANGE, NJ 07019-3155
(973) 944-1089
(973) 866-0023

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06193600
NJ
208000000X
Pediatrics Physician
MA061936
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6529402
NJ
Enumeration date
03/14/2006
Last updated
02/17/2026
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