Individual
YELENA MASHKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
131 COLUMBIA TPKE, FLORHAM PARK, NJ 07932
(973) 377-8776
Mailing address
5 BIRCHWOOD RD, OLD TAPPAN, NJ 07675-7102
(917) 882-4228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00376900
NJ
Other
Enumeration date
11/27/2015
Last updated
08/07/2018
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