Provider Demographics
NPI:1609191485
Name:SZE, EDWARD YUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:YUNG
Last Name:SZE
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 1:1200 NORTH ELM STREET SUITE 300
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1020
Mailing Address - Country:US
Mailing Address - Phone:336-938-0800
Mailing Address - Fax:336-938-0754
Practice Address - Street 1:1126 N. CHURCH STREET SUITE 300
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:28401-4699
Practice Address - Country:US
Practice Address - Phone:336-938-0800
Practice Address - Fax:336-938-0754
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-00260207R00000X, 207RC0000X
MEMD21979207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1609191485Medicaid