Yakobashvili, David

Yakobashvili, David is an sole proprietor health care provider with primary practice located at 201 Pleasant Hill Rd , Chester NJ 07930-2141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yakobashvili, David can be contacted via phone (917) 596-4004.

Contact Information

Primary practice address
201 Pleasant Hill Rd Chester NJ 07930-2141
Phone: (917) 596-4004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06761800 New Jersey

Profile Details

NPI number 1265420137
LBN Legal business name Yakobashvili, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Nov 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265420137 NPPES
New Jersey MEDICAID 7625201

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