# SORA YOON MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477075448
- **Authorized official:** BETTY GANDY (CREDENTIALING & BILLING MANAGER)
- **Authorized official phone:** (856) 451-9395

## Contact information

- **Practice address:** 1051 W SHERMAN AVE BLDG 2, VINELAND, NJ 08360-6931
- **Practice address phone:** (856) 451-9395
- **Mailing address:** PO BOX 144, BRIDGETON, NJ 08302-0109
- **Mailing address phone:** (856) 451-9395
- **Mailing address fax:** (856) 451-8615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2017
- **Last updated:** 07/12/2017