Provider Demographics
NPI:1073975603
Name:YEAGER, DANIELLE GIAMBRONE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:GIAMBRONE
Last Name:YEAGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 HIGHWAY 138 W
Mailing Address - Street 2:BLDG 2, SUITE 122
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-6130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3350 HIGHWAY 138 W
Practice Address - Street 2:BLDG 2, SUITE 122
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-6130
Practice Address - Country:US
Practice Address - Phone:215-829-5410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11129300207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology