Organization
UNION INTERNAL & GERIATRIC MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAROSLAV SIDLETSKYY MD (SOLE MEMBER)
(908) 686-9000
Entity
Organization
Contact information
Practice address
440 CHESTNUT ST, 2ND FLOOR, UNION, NJ 07083-3100
(908) 686-9000
Mailing address
440 CHESTNUT ST, UNION, NJ 07083-3100
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/19/2011
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