Organization
LUIS A. YEROVI MD PA
Active
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
Update your record
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