Provider Demographics
NPI:1932172145
Name:YU, HAROLD (PA-C)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WINDVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-8336
Mailing Address - Country:US
Mailing Address - Phone:202-757-8709
Mailing Address - Fax:
Practice Address - Street 1:NAVAL SUPPORT FACILITY THURMONT
Practice Address - Street 2:CAMP DAVID
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788-5001
Practice Address - Country:US
Practice Address - Phone:301-271-1460
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant