Individual
MR. YANIV ERGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64795, BALTIMORE, MD 21264-4795
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
592452-1
NY
163W00000X
Registered Nurse
R213012
MD
163W00000X
Registered Nurse
RN9230091
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
R213012
MD
Other
Enumeration date
09/30/2014
Last updated
06/19/2015
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