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Individual

DAVID YAKOBASHVILI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 PLEASANT HILL RD, CHESTER, NJ 07930-2141
(917) 596-4004
Mailing address
43 WESTMOUNT DR, LIVINGSTON, NJ 07039-4230
(917) 596-4004
(973) 369-7905

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06761800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7625201
NJ
Enumeration date
10/13/2005
Last updated
11/27/2020
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