Individual
JAE T YANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
443 BUTLER RD, KITTANNING, PA 16201-4409
(724) 548-8121
(724) 548-7239
Mailing address
443 BUTLER RD, KITTANNING, PA 16201-4409
(724) 548-8121
(724) 548-7239
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD032977L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006100910001
—
PA
Enumeration date
04/14/2006
Last updated
07/08/2007
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