Healthcare Provider Details

I. General information

NPI: 1316973738
Provider Name (Legal Business Name): SHARON YUEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 HIGHWAY 79
MORGANVILLE NJ
07751-4700
US

IV. Provider business mailing address

470 HIGHWAY 79
MORGANVILLE NJ
07751-4700
US

V. Phone/Fax

Practice location:
  • Phone: 732-970-9070
  • Fax: 732-970-9071
Mailing address:
  • Phone: 732-970-9070
  • Fax: 732-970-9071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMA074183
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: