Provider Demographics
NPI:1356566905
Name:YANG, JINGDUAN (MD)
Entity type:Individual
Prefix:DR
First Name:JINGDUAN
Middle Name:
Last Name:YANG
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 1:801 PACER CT
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-3855
Mailing Address - Country:US
Mailing Address - Phone:215-219-8745
Mailing Address - Fax:
Practice Address - Street 1:940 E HAVERFORD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3845
Practice Address - Country:US
Practice Address - Phone:610-520-1128
Practice Address - Fax:610-520-1331
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA076441002084P0800X
PAMD422505PA2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry