Individual
DR. CHANG GOO YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.,DPT
Contact information
Practice address
44 WASHINGTON ST, SUITE 104, BROOKLINE, MA 02445-7130
(617) 731-1004
(617) 731-1001
Mailing address
221 MOODY ST, WALTHAM, MA 02453-5322
(617) 731-1004
(617) 879-9012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18660
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0936
BCBS
DC
Enumeration date
08/01/2005
Last updated
10/13/2015
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