Provider Demographics
NPI:1316096068
Name:YANG, MING (PHD,DIPL & MS LAC)
Entity type:Individual
Prefix:
First Name:MING
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:PHD,DIPL & MS LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003
Mailing Address - Country:US
Mailing Address - Phone:856-952-6294
Mailing Address - Fax:856-857-1445
Practice Address - Street 1:2301 EVESHAM AVE
Practice Address - Street 2:SUITE 606 THE PAVILIONS OF VOORHEES
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-952-6294
Practice Address - Fax:856-857-1445
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00034100171100000X
PAAK000695171100000X
NY002476-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist