Individual
JI AE YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
150 BERGEN ST RM H245, NEWARK, NJ 07103-2496
(973) 972-5672
Mailing address
150 BERGEN STREET, ROOM H245, NEWARK, NJ 07103
(973) 972-5672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10038900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2014
Last updated
06/23/2021
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