Provider Demographics
NPI:1992966147
Name:YUH, JEANIE LEE (MD)
Entity type:Individual
Prefix:
First Name:JEANIE
Middle Name:LEE
Last Name:YUH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JIN
Other - Middle Name:HEE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1000 WALNUT ST
Mailing Address - Street 2:SUITE 122
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-1140
Mailing Address - Country:US
Mailing Address - Phone:215-368-1950
Mailing Address - Fax:215-368-9923
Practice Address - Street 1:1000 WALNUT ST
Practice Address - Street 2:SUITE 122
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-1140
Practice Address - Country:US
Practice Address - Phone:215-481-2606
Practice Address - Fax:215-368-9923
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440644207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics