Individual
PETER PHILIP YONCLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BERGEN ST, DOC 7100, NEWARK, NJ 07103-2425
(973) 972-2400
(973) 972-2988
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07607600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006882
—
NJ
Enumeration date
07/22/2006
Last updated
02/03/2022
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