Provider Demographics
NPI:1922030907
Name:YONKER, JASON MARCEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:MARCEL
Last Name:YONKER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:105 PINE BLUFF ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7199
Mailing Address - Country:US
Mailing Address - Phone:410-749-1191
Mailing Address - Fax:410-749-6111
Practice Address - Street 1:105 PINE BLUFF ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7199
Practice Address - Country:US
Practice Address - Phone:410-749-1191
Practice Address - Fax:410-749-6111
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2020-05-29
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Provider Licenses
StateLicense IDTaxonomies
MI4301082293207W00000X
MDD67936207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology