Individual
MELODY T YUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 WOODLAND AVE, MEDICAL ICU, PHILADELPHIA, PA 19104-4551
(732) 674-0101
Mailing address
3900 WOODLAND AVE, MEDICAL ICU, PHILADELPHIA, PA 19104-4551
(732) 674-0101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00166900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MP001669
NJ MEDICAL LICENSE
NJ
Enumeration date
11/07/2006
Last updated
11/17/2009
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