Provider Demographics
NPI:1316239148
Name:YAMADJAKO, STEEVE (DPM)
Entity type:Individual
Prefix:DR
First Name:STEEVE
Middle Name:
Last Name:YAMADJAKO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 OLD SHORT HILLS RD APT 133
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1057
Mailing Address - Country:US
Mailing Address - Phone:781-244-7170
Mailing Address - Fax:
Practice Address - Street 1:98 NAHANT ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-3315
Practice Address - Country:US
Practice Address - Phone:781-596-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2379213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery