MEDICARE: DR. YESMEAN HASSAN WAHDAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	25MA09984000	NJ

General Provider Information

NPI Number	:	1275859597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YESMEAN HASSAN WAHDAN MD

Provider Business Mailing Address
First Line	:	2 WOODMERE RD
Second Line	:
City	:	UPPER SADDLE RIVER
State	:	NJ
Zip	:	07458-1424
Country	:	US
Telephone Number	:	703-283-5265
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 WOODMERE RD
Second Line	:
City	:	UPPER SADDLE RIVER
State	:	NJ
Zip	:	07458-1424
Country	:	US
Telephone Number	:	703-283-5265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2010
Last Update Date	:	10/28/2024

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