Healthcare Provider Details

I. General information

NPI: 1649317058
Provider Name (Legal Business Name): YORK CHIANG YANG M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 02/14/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 MEMORIAL DR
SCHWENKSVILLE PA
19473-1753
US

IV. Provider business mailing address

102 MEMORIAL DR
SCHWENKSVILLE PA
19473-1753
US

V. Phone/Fax

Practice location:
  • Phone: 610-287-8129
  • Fax: 610-287-0359
Mailing address:
  • Phone: 610-287-8129
  • Fax: 610-287-0359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD067740L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: