1689619363 NPI number — JEFFREY YABLON MD PC

Table of content: (NPI 1689619363)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689619363 NPI number — JEFFREY YABLON MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JEFFREY YABLON MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689619363
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 142
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALMERTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18071-0142
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-327-7514
Provider Business Mailing Address Fax Number:
610-705-5665

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1590 MEDICAL DR
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
POTTSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19464-3247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-327-7514
Provider Business Practice Location Address Fax Number:
610-705-5665
Provider Enumeration Date:
06/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
YABLON
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
610-327-7514

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 185730 . This is a "HIGHMARK BS" identifier . This identifiers is of the category "OTHER".




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