Individual
BO YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-4721
Mailing address
250 E WYNNEWOOD RD APT F12, WYNNEWOOD, PA 19096-1561
(469) 616-5393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT217061
PA
207RN0300X
Nephrology Physician
Primary
MT217061
PA
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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