Provider Demographics
NPI:1780602375
Name:YOON, DAVID ANSEUNG (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ANSEUNG
Last Name:YOON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PROGRESS DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2563
Mailing Address - Country:US
Mailing Address - Phone:215-345-1101
Mailing Address - Fax:215-345-1556
Practice Address - Street 1:101 PROGRESS DR
Practice Address - Street 2:SUITE 4
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2563
Practice Address - Country:US
Practice Address - Phone:215-345-1101
Practice Address - Fax:215-345-1556
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD052087L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA763522Medicare ID - Type Unspecified
F33064Medicare UPIN