Basic Information
| Provider Information | |||||||||
| NPI: | 1942330584 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YARUS | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | VERONICA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 FARM COTTAGE RD | ||||||||
| Address2: | |||||||||
| City: | GLADSTONE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079342081 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9087199874 | ||||||||
| FaxNumber: | 9087199875 | ||||||||
| Practice Location | |||||||||
| Address1: | 151 KNOLLCROFT RD | ||||||||
| Address2: | |||||||||
| City: | LYONS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079395001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9086470180 | ||||||||
| FaxNumber: | 9086470180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2007 | ||||||||
| LastUpdateDate: | 01/20/2012 | ||||||||
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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 | 207R00000X | 25MAO5384700 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RG0300X | 25MAO5384700 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
No ID Information.