Provider Demographics
NPI:1003958604
Name:YEHL, MARY ANN MCLAUGHLIN (DO)
Entity Type:Individual
Prefix:MRS
First Name:MARY ANN
Middle Name:MCLAUGHLIN
Last Name:YEHL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:MARY ANN
Other - Middle Name:
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:240 WALL ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1181
Mailing Address - Country:US
Mailing Address - Phone:732-229-1288
Mailing Address - Fax:732-728-1487
Practice Address - Street 1:240 WALL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1181
Practice Address - Country:US
Practice Address - Phone:732-229-1288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00039000367A00000X
NJ25 MB08654500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife