Organization
NORTHEAST GASTROENTEROLOGY CENTER, INC.
Active
Organization
NORTHEAST GASTROENTEROLOGY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG KUL YOO MD (PRESIDENT)
(570) 454-1400
Entity
Organization
Contact information
Practice address
10 PARK PL, HAZLE TOWNSHIP, PA 18202-2885
(570) 454-1400
(570) 454-2144
Mailing address
10 PARK PLACE, HAZLE TOWNSHIP, PA 18202-9394
(570) 454-1400
(570) 454-2144
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016044280008
—
PA
01
—
513306
AETNA
PA
01
—
P006599
TRICARE
PA
Enumeration date
11/01/2006
Last updated
09/06/2012
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