Provider Demographics
NPI:1245232859
Name:SELIG, YOOKYUNG K (MD)
Entity Type:Individual
Prefix:
First Name:YOOKYUNG
Middle Name:K
Last Name:SELIG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:198 MASSACHUSETTS AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:N ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-4143
Mailing Address - Country:US
Mailing Address - Phone:978-685-7550
Mailing Address - Fax:978-686-5565
Practice Address - Street 1:198 MASSACHUSETTS AVE
Practice Address - Street 2:STE 103
Practice Address - City:N ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-4143
Practice Address - Country:US
Practice Address - Phone:978-685-7550
Practice Address - Fax:978-686-5565
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MA204786207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
040016160OtherMC RR
10917OtherNH LICENSE
J22374OtherBS HMO
J22374OtherBS MA
2376673OtherAETNA USHC
246742OtherMMS
A31144OtherMC
204786OtherMA LICENSE
2616992-001OtherCIGNA PAL
MA0104329Medicaid
B21014401OtherCIGNA
01Y002470MA01OtherNH BS
19776OtherH PIL
59185OtherFALLON
77492OtherAAO HNS
976936OtherNETWORK HEALTH
BS6821727OtherDEA
246742OtherMMS
2616992-001OtherCIGNA PAL