| Doctor Name: | BRYAN M YOHANANOV |
| NPI Number: | 1003135450 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 700 Us Highway 46 Suite 420 Fairfield, NJ - 070041591 |
| Business Phone Number: | 9738823456 |
| Business Fax Number: | 9738823450 |
| Mailing Address: | 700 Us Highway 46, Suite 420 FAIRFIELD |
| State: | NJ |
| Postal Code: | 070041591 |
| Phone Number: | 9738823456 |
| Fax Number: | 9738823450 |
| NPI Enumeration Date: | 05/25/2010 |
| NPI Last Update Date: | 05/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |