Doctor Name: | DR. KORTA YUASA |
NPI Number: | 1649257478 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA07681800 |
Business Practice Address: | 100 N Academy Ave Danville, PA - 178224903 |
Business Phone Number: | 5702716439 |
Business Fax Number: | 5702716852 |
Mailing Address: | 100 North Academy Ave, DANVILLE |
State: | PA |
Postal Code: | 178224903 |
Phone Number: | 5702716144 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA07681800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |