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Contact Information

JEROME YESAVAGE, MD
3801 MIRANDA AVE
PALO ALTO, CA94304-1207
 Phone: 650-852-3287
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JEROME YESAVAGE · (Male)

NPI Number 1881862993
Status Active
Credentials MD
Entity Individual
Enumeration date 02/12/2008
Last updated 02/12/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G29976
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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