1720107931 NPI number — DR. JACK ADAM YANOVSKI MD, PHD

Table of content: DR. JACK ADAM YANOVSKI MD, PHD (NPI 1720107931)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720107931 NPI number — DR. JACK ADAM YANOVSKI MD, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YANOVSKI
Provider First Name:
JACK
Provider Middle Name:
ADAM
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, PHD
Provider Gender Code:
M

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:
1720107931
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12035 MONTROSE VILLAGE TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20852-4162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-230-0186
Provider Business Mailing Address Fax Number:
301-402-0574

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 CENTER DR
Provider Second Line Business Practice Location Address:
NIH HATFIELD CRC, RM 1E-3330 MSC 1103
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20892-1103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-496-0858
Provider Business Practice Location Address Fax Number:
301-402-0574
Provider Enumeration Date:
03/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0205X , with the licence number:  D38535 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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