Provider Demographics
NPI:1538359153
Name:YURI VOLK P.C.
Entity type:Organization
Organization Name:YURI VOLK P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YURI
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-677-2200
Mailing Address - Street 1:193 ROUTE 9
Mailing Address - Street 2:SUITE # 1C
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3015
Mailing Address - Country:US
Mailing Address - Phone:732-677-2200
Mailing Address - Fax:732-252-9404
Practice Address - Street 1:193 ROUTE 9
Practice Address - Street 2:SUITE # 1C
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3015
Practice Address - Country:US
Practice Address - Phone:732-677-2200
Practice Address - Fax:732-252-9404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0125741Medicaid