Individual
BRIANNA AZADEH YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2963 MARNE HWY, MOUNT LAUREL, NJ 08054-2036
(856) 638-1990
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12317800
NJ
Other
Enumeration date
04/13/2021
Last updated
08/28/2024
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