NPI 1043598246
Christopher Allen Yesukevich, IDC
Practice location
- Address
- 82a Woodland Rd APT 4, Short Hills, NJ 07078-2400
- Phone
- (847) 208-6259
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1043598246
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jul 2011
- Record last updated
- 22 Jul 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.