| Doctor Name: | DR. SOYOUNG BAE |
| NPI Number: | 1841451085 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD448168 |
| Business Practice Address: | 25 Colony Blvd Suite 110 Blairsville, PA - 157177971 |
| Business Phone Number: | 7244594985 |
| Business Fax Number: | 7244591725 |
| Mailing Address: | 9 N 7th St, Suite 203 INDIANA |
| State: | PA |
| Postal Code: | 157011880 |
| Phone Number: | 7243577333 |
| Fax Number: | 7243577279 |
| NPI Enumeration Date: | 06/20/2008 |
| NPI Last Update Date: | 11/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | MD448168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |