Provider Demographics
NPI:1215026554
Name:HYUN, YOUNGSOON (MD)
Entity Type:Individual
Prefix:
First Name:YOUNGSOON
Middle Name:
Last Name:HYUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 N HARRISON ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3521
Mailing Address - Country:US
Mailing Address - Phone:609-924-9300
Mailing Address - Fax:609-430-9481
Practice Address - Street 1:419 N HARRISON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3521
Practice Address - Country:US
Practice Address - Phone:609-924-9300
Practice Address - Fax:609-430-9481
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04324300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0419568000OtherAMERIHLTH/IBC-PCP
NJ3583503Medicaid
NJ110137128OtherRAILROAD MED.-PRINCETON
NJP451680OtherOXFORD-PCP
NJ597166OtherAMERIHLTH ADMIN-PCP
NJ815065OtherAETNA HMO&NON HMO-PCP
NJ110137131OtherRAILROAD MED.-MONROE
NJ1811052OtherUNITED HEALTHCARE-PCP
NJ597166OtherAMERIHLTH ADMIN-PCP
NJ0419568000OtherAMERIHLTH/IBC-PCP