Individual
JIMMIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
817 FEDERAL ST, CAMDEN, NJ 08103-1539
(856) 541-8217
(856) 541-4611
Mailing address
817 FEDERAL ST, CAMDEN, NJ 08103-1539
(856) 541-5933
(856) 541-3340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04511000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3605604
—
NJ
Enumeration date
06/06/2006
Last updated
09/02/2010
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