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Individual
SOPHIA C YOUNG
Active
Individual
SOPHIA C YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
25MA04968400
NJ
2085N0700X
Neuroradiology Physician
Primary
MD028288-E
PA
2085R0202X
Diagnostic Radiology Physician
MA04968400
NJ
2085R0202X
Diagnostic Radiology Physician
MD028288-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01155330
—
PA
05
—
2323401
—
NJ
Enumeration date
06/23/2005
Last updated
08/09/2012
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