Scott Yager Md Llc | |
4 Cornwall Dr Suite 201 East Brunswick NJ 08816-3332 | |
(732) 432-7040 | |
(732) 432-7183 |
Full Name | Scott Yager Md Llc |
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Speciality | Clinic/Center |
Location | 4 Cornwall Dr, East Brunswick, New Jersey |
Authorized Official Name and Position | Scott Yager (MD) |
Authorized Official Contact | 7324327040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scott Yager Md Llc 4 Cornwall Dr Suite 201 East Brunswick NJ 08816-3332 Ph: (732) 432-7040 | Scott Yager Md Llc 4 Cornwall Dr Suite 201 East Brunswick NJ 08816-3332 Ph: (732) 432-7040 |
NPI Number | 1013151257 |
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Provider Enumeration Date | 04/30/2009 |
Last Update Date | 04/30/2009 |
Medicare PECOS PAC ID | 2860674298 |
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Medicare Enrollment ID | O20110307000654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013151257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 25MA06085600 (New Jersey) | Primary |
Provider Name | Scott Yager |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669522595 PECOS PAC ID: 3971799198 Enrollment ID: I20101130000162 |
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