Individual
YOUNG JO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
930 CLIFTON AVE, SUITE 102, CLIFTON, NJ 07013
(973) 778-2665
(973) 778-9753
Mailing address
71 UNION AVE STE 210, RUTHERFORD, NJ 07070-1272
(973) 778-2665
(973) 778-9753
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA04060900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3749509
—
NJ
Enumeration date
01/02/2007
Last updated
08/02/2018
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