Individual
YAN GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 TOWNSHIP LINE RD STE 110, BLUE BELL, PA 19422-2721
(267) 339-3558
(267) 339-3763
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MA09494900
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD446949
PA
Other
Enumeration date
06/25/2009
Last updated
07/10/2024
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