Provider Demographics
NPI:1114908712
Name:ZHANG, YUTONG (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:YUTONG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1058 BEAUMONT RD
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-2041
Mailing Address - Country:US
Mailing Address - Phone:610-725-8389
Mailing Address - Fax:
Practice Address - Street 1:435 E LANCASTER AVE
Practice Address - Street 2:SUITE ONE
Practice Address - City:ST DAVIDS
Practice Address - State:PA
Practice Address - Zip Code:19087-4229
Practice Address - Country:US
Practice Address - Phone:610-665-4025
Practice Address - Fax:610-410-5547
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070668L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation