Provider Demographics
NPI:1639252794
Name:YASHAR, ALYSON G (MD)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:G
Last Name:YASHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 TICE BOULEVARD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677
Mailing Address - Country:US
Mailing Address - Phone:201-782-1700
Mailing Address - Fax:201-782-1749
Practice Address - Street 1:300 TICE BOULEVARD
Practice Address - Street 2:SUITE 106
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677
Practice Address - Country:US
Practice Address - Phone:201-782-1700
Practice Address - Fax:201-782-1749
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2024-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06740600207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2K1596OtherHEALTHNET
PA7126730OtherCIGNA
CTP1030162OtherOXFORD
GA18169975OtherUNITED HEALTHCARE
TX5117740OtherAETNA
TX5117740OtherAETNA