Individual
YESHUSCHANDRA R DHAIBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 699-1100
Mailing address
PO BOX 336, POMPTON PLAINS, NJ 07444-0336
(973) 686-2200
(973) 686-2240
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06757100
NJ
Other
Enumeration date
12/08/2006
Last updated
03/26/2013
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