Provider Demographics
NPI:1124111364
Name:HUR, JIN YOUNG (MD)
Entity type:Individual
Prefix:
First Name:JIN
Middle Name:YOUNG
Last Name:HUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10850 W. PARK PLACE
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-3606
Mailing Address - Country:US
Mailing Address - Phone:414-359-5714
Mailing Address - Fax:414-359-5703
Practice Address - Street 1:330 RATZER ROAD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-696-5770
Practice Address - Fax:973-633-1204
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2011-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2130972085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology