Provider Demographics
NPI:1942576608
Name:SOUNG, JANE
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:SOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3394 SAXONBURG BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-3168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3394 SAXONBURG BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-3168
Practice Address - Country:US
Practice Address - Phone:412-767-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD454764208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics