Provider Demographics
NPI:1346204583
Name:YIN, CHUN (MD)
Entity Type:Individual
Prefix:
First Name:CHUN
Middle Name:
Last Name:YIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2099 NEW ALBANY RD
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-3534
Mailing Address - Country:US
Mailing Address - Phone:856-829-5545
Mailing Address - Fax:856-829-9268
Practice Address - Street 1:301 LINDENWOOD DR
Practice Address - Street 2:SUITE 350
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1758
Practice Address - Country:US
Practice Address - Phone:215-590-2897
Practice Address - Fax:215-590-0325
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07411200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH93250Medicare UPIN