Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MA078974 | NJ |
NPI | 1730166414 |
---|---|
Provider Name | Dr. Jun Yang |
First Address | Tinton Falls, NJ 07701 |
Second Address | Tinton Falls, NJ 07701-4946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2005 |
Last Update Date | 01/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01004850000 | AMERICHOICE (01) | NJ |
0112365 | GHI (01) | NJ |
096002 | (02) | NJ |
2326435 | UNITED HEALTHCARE (01) | NJ |
2720467000 | AMERIHEALTH (01) | NJ |
306397 | AMERIGROUP (01) | NJ |
36975 | UNIVERSITY HREALTH PLAN (01) | NJ |
3K9477 | HEALTHNET (01) | NJ |
5678954 | CIGNA (01) | NJ |
60024315 | HORIZON NJ HEALTH (01) | NJ |
7868403 | AETNA (01) | NJ |
8828709 | (05) | NJ |
P2907113 | OXFORD (01) | NJ |