Basic Information
Provider Information
NPI: 1730272550
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YOCOM
FirstName: STEVEN
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3 COOPER PLZ
Address2: SUITE 502
City: CAMDEN
State: NJ
PostalCode: 081031438
CountryCode: US
TelephoneNumber: 8569687433
FaxNumber: 8569688366
Practice Location
Address1: 3 COOPER PLZ
Address2: SUITE 104
City: CAMDEN
State: NJ
PostalCode: 081031438
CountryCode: US
TelephoneNumber: 8563422270
FaxNumber: 8569688222
Other Information
ProviderEnumerationDate: 10/02/2006
LastUpdateDate: 05/08/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XMB07774500NJY Allopathic & Osteopathic PhysiciansNeurological Surgery 

ID Information
IDTypeStateIssuerDescription
0100063550001NJAMERICHOICEOTHER
310176001NJCIGNAOTHER
163586501NJAMERIHEALTH PPO/ PA BSOTHER
231099500001NJAMERIHEALTH/KEYSTONE/IBCOTHER
814080405NJ MEDICAID
P338329001NJOXFORDOTHER
206717001NJUNITED HEALTHCAREOTHER
6000991201NJHORIZON NJ HEALTHOTHER
361887701NJAETNAOTHER
163586501NJPA BS HIGHMARKOTHER
4238901NJUNIVERSITY HEALTH PLANOTHER


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