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Individual

DR. YARON BAREKET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
103 RIVER RD, EDGEWATER, NJ 07020-1010
(201) 941-8100
(201) 941-2899
Mailing address
103 RIVER RD, EDGEWATER, NJ 07020-1010
(201) 941-8100
(201) 941-2899

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA06221300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0074887000
AMERIHEALTH GROUP #
NJ
01
02H441
EMPIRE BC/BS OF NY ID #
NJ
01
0K5703
HEALTHNET
NJ
05
1441607
NJ
01
5193299
AETNA PPO ID #
NJ
01
579092
AETNA HMO ID #
NJ
05
7363605
NJ
05
8079706
NJ
01
BP506
OXFORD ID #
NJ
Enumeration date
06/14/2005
Last updated
04/15/2008
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