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Individual

ROGER S YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16 MOUNTAIN BLVD, WARREN, NJ 07059-5614
(908) 769-7200
(908) 769-9141
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06951400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300129443
RAILROAD MEDICARE - EDISON
NJ
05
8506205
NJ
Enumeration date
06/30/2005
Last updated
12/13/2016
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