Provider Demographics
NPI:1912077710
Name:YUCIS, MATTHEW J (DO)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:J
Last Name:YUCIS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING, SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2600 GLASGOW AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4773
Practice Address - Country:US
Practice Address - Phone:302-836-8350
Practice Address - Fax:302-836-8370
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2016-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB06191300207Q00000X
DEC2-0004050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine