Provider Demographics
NPI:1295872901
Name:CRESSMAN AND YABLONSKI
Entity type:Organization
Organization Name:CRESSMAN AND YABLONSKI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:E
Authorized Official - Last Name:CRESSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-760-7044
Mailing Address - Street 1:215 N BEST AVE
Mailing Address - Street 2:PO BOX Y
Mailing Address - City:WALNUTPORT
Mailing Address - State:PA
Mailing Address - Zip Code:18088-1204
Mailing Address - Country:US
Mailing Address - Phone:610-760-7044
Mailing Address - Fax:610-760-7044
Practice Address - Street 1:215 N BEST AVE
Practice Address - Street 2:
Practice Address - City:WALNUTPORT
Practice Address - State:PA
Practice Address - Zip Code:18088-1204
Practice Address - Country:US
Practice Address - Phone:610-760-7044
Practice Address - Fax:610-760-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA667710OtherHIGHMARK BLUE SHIELD
028788Medicare ID - Type Unspecified