Individual
ALBERT JEN-CHU YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1361 13TH AVE S STE 125, JACKSONVILLE, FL 32250
(904) 249-2580
Mailing address
1361 13TH AVE S FL 32250, JACKSONVILLE BEACH, FL 32250-3233
(904) 249-2580
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
93802
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME165435
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93802
GEORGIA MEDICAL BOARD
GA
01
—
ME165435
FLORIDA MEDICAL BOARD
FL
Enumeration date
03/26/2018
Last updated
10/03/2024
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