Individual
DR. YULIYA BAKSHIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 KILMER DR, STE 217, MORGANVILLE, NJ 07751-1564
(732) 617-8888
(732) 617-8880
Mailing address
41 JOSEPH ST, MANALAPAN, NJ 07726-8332
(732) 863-1157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA64214
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6969208
—
NJ
Enumeration date
11/13/2006
Last updated
07/08/2007
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