Provider Demographics
NPI:1386683092
Name:YU, BYUNG H (MD)
Entity Type:Individual
Prefix:
First Name:BYUNG
Middle Name:H
Last Name:YU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 LACEY RD
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1304
Mailing Address - Country:US
Mailing Address - Phone:609-693-5500
Mailing Address - Fax:609-693-4329
Practice Address - Street 1:765 LACEY RD
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-1304
Practice Address - Country:US
Practice Address - Phone:609-693-5500
Practice Address - Fax:609-693-4329
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA64888207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
554019-AW2Medicare ID - Type Unspecified
G41258Medicare UPIN