Organization
KJELL A YOUNGREN MD
Active
Other names
Advanced Urology
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KEENAN (MANAGER)
(973) 889-0049
Entity
Organization
Contact information
Practice address
8 SADDLE RD STE 204, CEDAR KNOLLS, NJ 07927-1900
(973) 889-0049
Mailing address
8 SADDLE RD STE 204, CEDAR KNOLLS, NJ 07927-1900
(973) 889-0049
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7788254
AETNA PROVIDER ID
NJ
Enumeration date
12/05/2018
Last updated
02/25/2025
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