Provider Demographics
NPI:1376850008
Name:FAMILY & NATURAL MEDICINE PC
Entity Type:Organization
Organization Name:FAMILY & NATURAL MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:JU YUN
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-870-3572
Mailing Address - Street 1:120 COUNTY RD
Mailing Address - Street 2:SUITE102
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1854
Mailing Address - Country:US
Mailing Address - Phone:201-266-8464
Mailing Address - Fax:201-266-8463
Practice Address - Street 1:120 COUNTY RD
Practice Address - Street 2:SUITE102
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-1854
Practice Address - Country:US
Practice Address - Phone:201-266-8464
Practice Address - Fax:201-266-8463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08774000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty