Provider Demographics
NPI:1629463690
Name:YANG, ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
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 1:2175 LEMOINE AVE STE 401A
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6019
Mailing Address - Country:US
Mailing Address - Phone:917-242-4585
Mailing Address - Fax:
Practice Address - Street 1:2175 LEMOINE AVE STE 401A
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-6019
Practice Address - Country:US
Practice Address - Phone:917-242-4585
Practice Address - Fax:917-242-4585
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10882700207XS0106X
NY309656207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery