Provider Demographics
NPI:1023075728
Name:YUMANG, NORBERTO Y (MD)
Entity type:Individual
Prefix:DR
First Name:NORBERTO
Middle Name:Y
Last Name:YUMANG
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 1:178 ENCLAVE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-3208
Mailing Address - Country:US
Mailing Address - Phone:724-658-4561
Mailing Address - Fax:724-658-1662
Practice Address - Street 1:178 ENCLAVE DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3208
Practice Address - Country:US
Practice Address - Phone:724-658-4561
Practice Address - Fax:724-658-1662
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015994E208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA152062OtherBLUE SHIELD
PA0075982480003Medicaid
PA010065349OtherMEDICARE TRAVELERS
PA152062OtherBLUE SHIELD
PAB77536Medicare UPIN