Individual
JIAN QIN YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111-2434
(215) 728-6900
(215) 728-3134
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-3883
(215) 728-1185
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD423580
PA
2085N0904X
Nuclear Radiology Physician
Primary
MD423580
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014443540001
—
PA
Enumeration date
07/25/2006
Last updated
09/20/2018
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