Organization
DAVID YAKOBASHVILI,MD,LLC
Active
Other names
David Yakobashvili,MD,Limited Liability Company
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID YAKOBASHVILI MD (OWNER)
(917) 596-4004
Entity
Organization
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
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7625201
—
NJ
Enumeration date
10/07/2008
Last updated
06/25/2021
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