MEDICARE: MR. YASER ABUALHASSAN

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	172A00000X	Driver

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518456318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. YASER ABUALHASSAN

Provider Business Mailing Address
First Line	:	4907 N OAKS BLVD
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-2164
Country	:	US
Telephone Number	:	848-220-0150
Fax Number	:

Provider Business Practice Location Address
First Line	:	4907 N OAKS BLVD
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-2164
Country	:	US
Telephone Number	:	848-220-0150
Fax Number	:

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

Provider Enumeration Date	:	05/07/2018
Last Update Date	:	05/07/2018

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Directions to “ MR. YASER ABUALHASSAN ” Practice Location

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