Basic Information
| Provider Information | |||||||||
| NPI: | 1538734710 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAROUICHI | ||||||||
| FirstName: | YONESS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14 STILES RD | ||||||||
| Address2: | |||||||||
| City: | WARREN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070595413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9089171715 | ||||||||
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| Practice Location | |||||||||
| Address1: | 130 POWERVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BOONTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070058705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9733161800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2021 | ||||||||
| LastUpdateDate: | 05/20/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/17/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | NJ | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.