Healthcare Provider Details

I. General information

NPI: 1205062072
Provider Name (Legal Business Name): PATRICIA MARIE YUNGER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

4601 CONNECTICUT AVE NW APT. 718
WASHINGTON DC
20008-5700
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO034384
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: