Individual
ALI YAZDANYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103
(610) 402-5369
(610) 402-5959
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS013101
PA
208M00000X
Hospitalist Physician
Primary
OS013101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101207108
—
PA
Enumeration date
06/27/2006
Last updated
02/09/2021
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