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Individual

YESHAVANTH P. NAYAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 HOSPITAL DR, SUITE 16, TOMS RIVER, NJ 08755-6434
(732) 349-5220
(732) 914-9668
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA03658400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223053718
BCBS
NJ
01
CF1828
MEDICARE RAILROAD
NJ
Enumeration date
08/20/2006
Last updated
12/17/2024
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