Basic Information
Provider Information
NPI: 1497728299
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YARIAN
FirstName: DAVID
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1000 GALLOPING HILL RD STE 305
Address2: ASSOCIATED RETINAL CONSULTANTS LLC
City: UNION
State: NJ
PostalCode: 070837991
CountryCode: US
TelephoneNumber: 9084588333
FaxNumber: 9082980104
Practice Location
Address1: 1000 GALLOPING HILL RD STE 305
Address2:  
City: UNION
State: NJ
PostalCode: 070837991
CountryCode: US
TelephoneNumber: 7322201600
FaxNumber: 7322201603
Other Information
ProviderEnumerationDate: 02/10/2006
LastUpdateDate: 08/01/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X36261NJN Allopathic & Osteopathic PhysiciansOphthalmology 
207WX0107X25MA03626100NJY    

No ID Information.


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