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Individual

DR. JOSEPH M YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1160 RAYMOND BLVD, NEWARK, NJ 07102-4199
(973) 596-3857
Mailing address
59 KOCH AVE, MORRIS PLAINS, NJ 07950-4400
(973) 538-1800
(973) 889-8799

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA06728800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010397C2E
MEDICARE BILLING
NJ
05
7662807
NJ
Enumeration date
12/19/2005
Last updated
05/23/2018
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