Provider Demographics
NPI:1982667531
Name:SOLIMAN, YASSER S (MD)
Entity Type:Individual
Prefix:
First Name:YASSER
Middle Name:S
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 WHITEHORSE-MERCERVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619
Mailing Address - Country:US
Mailing Address - Phone:609-587-4778
Mailing Address - Fax:609-587-1202
Practice Address - Street 1:2400 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1951
Practice Address - Country:US
Practice Address - Phone:609-587-4778
Practice Address - Fax:609-587-1202
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA56542207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5524300Medicaid
NJ5524300Medicaid
NJ745125SNSMedicare PIN