Provider Demographics
NPI:1730461146
Name:YUEN, DAVID C (BACHOF SCIENCE)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:YUEN
Suffix:
Gender:M
Credentials:BACHOF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 ROUTE 516
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2300
Mailing Address - Country:US
Mailing Address - Phone:732-838-0921
Mailing Address - Fax:732-838-0642
Practice Address - Street 1:2625 ROUTE 516
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2300
Practice Address - Country:US
Practice Address - Phone:732-838-0921
Practice Address - Fax:732-838-0642
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02323300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist