MEDICARE: YOKO YOUNG SANG 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
1	208600000X	Surgery Physician	MD475641	PA

General Provider Information

NPI Number	:	1346637386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOKO YOUNG SANG MD

Provider Business Mailing Address
First Line	:	2 W CRESCENT PARK
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365-2111
Country	:	US
Telephone Number	:	814-723-4973
Fax Number	:	814-723-8952

Provider Business Practice Location Address
First Line	:	103 W SAINT CLAIR ST RM 2D
Second Line	:
City	:	WARREN
State	:	PA
Zip	:	16365-2188
Country	:	US
Telephone Number	:	814-723-8268
Fax Number	:	814-726-9417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	12/27/2021

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