Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OS019980 | PA |
NPI | 1003222522 |
---|---|
Provider Name | Dr. Matthew Yu |
First Address | Pittsburgh, PA 15212-4915 |
Second Address | Pittsburgh, PA 15212-4915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2014 |
Last Update Date | 07/01/2020 |