Provider Demographics
NPI:1700838398
Name:YABROV, DORIT (MD)
Entity Type:Individual
Prefix:
First Name:DORIT
Middle Name:
Last Name:YABROV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 ROPER RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4070
Mailing Address - Country:US
Mailing Address - Phone:609-924-3325
Mailing Address - Fax:
Practice Address - Street 1:51 W PROSPECT ST
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5711
Practice Address - Country:US
Practice Address - Phone:732-238-3800
Practice Address - Fax:732-238-2883
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA039611207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1144850OtherHORIZON NJ HEALTH
NJ8701806Medicaid
NJA62897Medicare UPIN
NJ8701806Medicaid