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Individual

ELAINE M YONCLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
41 WATCHUNG AVE, SUITE 510, MONTCLAIR, NJ 07042
(973) 255-1155
Mailing address
41 WATCHUNG PLZ, SUITE 510, MONTCLAIR, NJ 07042-4117
(973) 255-1155

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07733100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0152722
GHI PPO
NJ
01
2850129000
AMERIHEALTH #
NJ
01
3K3539
HEALTHNET #
NJ
01
P00169458
RR MDCR #
NJ
Enumeration date
08/09/2005
Last updated
11/14/2013
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