Individual
YOUNG HUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
461 INDIAN WELLS AVE, KISSIMMEE, FL 34759-3679
(732) 735-8401
Mailing address
461 INDIAN WELLS AVE, KISSIMMEE, FL 34759-3679
(732) 735-8401
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA03066300
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA03066300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6921205
—
NJ
Enumeration date
04/07/2006
Last updated
06/09/2014
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