Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 25MD00348900 | NJ |
NPI | 1346695335 |
---|---|
Provider Name | Dr. Raphael Yeung |
First Address | Metuchen, NJ 08840-2294 |
Second Address | Metuchen, NJ 08840-2294 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2016 |
Last Update Date | 03/09/2019 |