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Search › New Jersey › 183500000X

Mary Yacoub

NPI 1619577079 · on the registry since 2020 · sole proprietor

Practice

Address
400 Park Pl
Secaucus, NJ 07094
Phone
(201) 325-9275
Organisation at this address
Wal-Mart Stores East Lp
Emil Martirosyan Od Llc
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey