MEDICARE: DR. YEW LAM CHONG MBBS, MRCS

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	208800000X	Urology Physician	MT189934	PA

General Provider Information

NPI Number	:	1649451535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YEW LAM CHONG MBBS, MRCS

Provider Business Mailing Address
First Line	:	1025 WALNUT ST STE 1112
Second Line	:	THOMAS JEFFERSON UNIVERSITY HOSPITAL
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5001
Country	:	US
Telephone Number	:	215-923-1884
Fax Number	:	215-923-1884

Provider Business Practice Location Address
First Line	:	1025 WALNUT ST STE 1112
Second Line	:	THOMAS JEFFERSON UNIVERSITY HOSPITAL
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5001
Country	:	US
Telephone Number	:	215-923-1884
Fax Number	:	215-923-1884

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

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	11/19/2007

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