Provider Demographics
NPI:1790716108
Name:YORI, EDWARD J JR (CRNA)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:J
Last Name:YORI
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:45 NEWTOWN WOODS RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073
Mailing Address - Country:US
Mailing Address - Phone:610-353-7927
Mailing Address - Fax:
Practice Address - Street 1:100 PESI DENTAL BLVD
Practice Address - Street 2:DELAWARE VALLEY ORTHOPEDIC SPINE SURGI CENTER
Practice Address - City:BALA CYNWD
Practice Address - State:PA
Practice Address - Zip Code:02951
Practice Address - Country:US
Practice Address - Phone:610-467-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA029518207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology