Individual
LONNA YEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 PIERMONT RD, CLOSTER, NJ 07624-2845
(201) 784-3200
(201) 984-3312
Mailing address
500 PIERMONT RD, CLOSTER, NJ 07624-2845
(201) 784-3200
(201) 984-3312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03008000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1373200
—
NJ
Enumeration date
08/09/2005
Last updated
01/18/2013
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