Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | MD015994E | PA |
NPI | 1023075728 |
---|---|
Provider Name | Dr. Norberto Y Yumang |
First Address | New Castle, PA 16105-3208 |
Second Address | New Castle, PA 16105-3208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 12/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0075982480003 | (05) | PA |
010065349 | MEDICARE TRAVELERS (01) | PA |
152062 | BLUE SHIELD (01) | PA |
B77536 | (02) | PA |