Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD460505 | PA |
NPI | 1083045793 |
---|---|
Provider Name | Dr. Yu Yu Thar |
First Address | Darby, PA 19023-1200 |
Second Address | Sayre, PA 18840-1625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2013 |
Last Update Date | 26/07/2021 |