Individual
MS. YVELISSE SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
187 HIGHWAY 36, WEST LONG BRANCH, NJ 07764-1327
(732) 702-1039
Mailing address
1015 NEW RD, NORTHFIELD, NJ 08225-1600
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
256191-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA09218300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2008
Last updated
10/16/2023
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