Provider Demographics
NPI:1760400451
Name:YOUNG, FAITH M (MD)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:M
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:856-382-6455
Practice Address - Street 1:2 COOPER PLZ 400 HADDON AVENUE
Practice Address - Street 2:SUITE 3200
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:855-632-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA00941700207RX0202X
PAINTERNAL MEDICINE207R00000X, 207RH0002X
NY177309207R00000X, 207RH0000X
NJ25MA09941700207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102763913Medicaid
NJ0310859Medicaid
PA102763913Medicaid
PA257021Medicare PIN