Individual
THOMAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16792 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3748
(814) 373-2335
(814) 373-2338
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-2335
(814) 373-2338
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
29292
KY
207RH0003X
Hematology & Oncology Physician
DR49094
CO
207RH0003X
Hematology & Oncology Physician
Primary
MD039841E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255337259
—
UT
05
—
13802780
—
CO
01
—
50006869
PASSPORT
KY
05
—
64000920
—
KY
01
—
830000259
RAILROAD MEDICARE
KY
Enumeration date
06/23/2005
Last updated
03/30/2018
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