Individual
YOUNG J GENAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7131-39 FRANKFORD AVENUE, PHILADELPHIA, PA 19135
(215) 332-4164
(215) 332-9638
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05729
GA
207Q00000X
Family Medicine Physician
MD455524
PA
208M00000X
Hospitalist Physician
Primary
25MA09612300
NJ
367500000X
Certified Registered Nurse Anesthetist
26NR09087900
NJ
Other
Enumeration date
08/11/2006
Last updated
10/22/2020
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