Individual
DR. JASON JUNGSUN YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 ROCKWOOD PL STE 220, ENGLEWOOD, NJ 07631-4959
(201) 408-5151
(201) 408-5353
Mailing address
25 ROCKWOOD PL STE 220, ENGLEWOOD, NJ 07631-4959
(201) 408-5151
(201) 408-5353
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA87007500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102577515
—
PA
Enumeration date
10/14/2010
Last updated
06/03/2024
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