Healthcare Provider Details

I. General information

NPI: 1750411880
Provider Name (Legal Business Name): YASSER SOLIMAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2239 WHITEHORSE MERCERVILLE RD
MERCERVILLE NJ
08619-2642
US

IV. Provider business mailing address

2239 WHITEHORSE MERCERVILLE RD
MERCERVILLE NJ
08619-2642
US

V. Phone/Fax

Practice location:
  • Phone: 609-587-4778
  • Fax:
Mailing address:
  • Phone: 609-587-4778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA05654200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA05694400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number25MA05694400
License Number StateNJ

VIII. Authorized Official

Name: DR. YASSER SAMIR SOLIMAN
Title or Position: MD
Credential: MD
Phone: 609-587-4778