Organization Name: | MICHAEL YOONG MDPA |
NPI Number: | 1346258381 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL YOONG (OWNER PHYSICIAN) |
Mailing Address: | 2630 E Chestnut Avenue Vineland |
State: | NJ US |
Postal Code: | 08361 |
Phone Number: | 8566911658 |
Fax Number: | 8566921558 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MA35922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |