Individual
SE YOUNG OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1680 STATE ROUTE 23 STE 250, WAYNE, NJ 07470-7520
(973) 633-1122
(973) 832-7550
Mailing address
1680 ROUTE 23 STE 250, WAYNE, NJ 07470-7520
(973) 633-1122
(973) 832-7550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00405400
NJ
363LF0000X
Family Nurse Practitioner
F337677-1
NY
Other
Enumeration date
12/12/2012
Last updated
11/10/2020
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