Organization
NORTHEAST GASTROENTEROLOGY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG KUL YOO MD (PRESIDENT)
(570) 454-1400
Entity
Organization
Contact information
Practice address
10 PARK PL, HAZLE TOWNSHIP, PA 18202-2885
(570) 454-1400
(570) 454-2144
Mailing address
10 PARK PL, HAZLE TOWNSHIP, PA 18202-2885
(570) 454-1400
(570) 454-2144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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