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NPI Code Detail

MEDICARE: DR. JIN YOUNG YOUN MD

MEDICARE: DR. JIN YOUNG YOUN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician0101275163VA

General Provider Information

NPI Number : 1952796674
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIN YOUNG YOUN MD
Provider Business Mailing Address
First Line : PO BOX 37174
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3174
Country : US
Telephone Number : 571-423-5699
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S SHIRLINGTON RD STE 706
Second Line :
City : ARLINGTON
State : VA
Zip : 22206-3602
Country : US
Telephone Number : 571-777-2420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2015
Last Update Date : 11/02/2022

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