Organization
LUIS A. YEROVI MD PA
Active
Other names
Luis A. Yerovi MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS A YEROVI JR. MD (OWNER/DOCTOR)
(973) 344-7676
Entity
Organization
Contact information
Practice address
91 CONGRESS ST, NEWARK, NJ 07105-1879
(973) 344-7676
(973) 690-5109
Mailing address
91 CONGRESS ST, NEWARK, NJ 07105-1879
(973) 344-7676
(973) 690-5109
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
25MA05714900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6490107
—
NJ
Enumeration date
01/21/2011
Last updated
01/28/2011
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