Individual
KOMAL YADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1006 MANTUA PIKE, WOODBURY HEIGHTS, NJ 08097-1221
(215) 316-5151
Mailing address
133 BENMORE DR, WINTER PARK, FL 32792-4111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10830700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2017
Last updated
06/29/2020
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