Basic Information
| Provider Information | |||||||||
| NPI: | 1497052286 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YAQUB | ||||||||
| FirstName: | AMNA | ||||||||
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| Credential: | MB,BS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 121 STATE ROUTE 31 STE 300 | ||||||||
| Address2: | |||||||||
| City: | FLEMINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088225744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087886474 | ||||||||
| FaxNumber: | 9087886474 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 STATE ROUTE 31 STE 300 | ||||||||
| Address2: | |||||||||
| City: | FLEMINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088225744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087886474 | ||||||||
| FaxNumber: | 9077886616 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2011 | ||||||||
| LastUpdateDate: | 11/07/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 25MA09963500 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.