Provider Demographics
NPI:1730161530
Name:YANG, DONGHYUN (RPH)
Entity type:Individual
Prefix:MR
First Name:DONGHYUN
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CARLOUGH RD
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-1804
Mailing Address - Country:US
Mailing Address - Phone:201-760-9264
Mailing Address - Fax:
Practice Address - Street 1:781 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-3203
Practice Address - Country:US
Practice Address - Phone:201-886-2400
Practice Address - Fax:201-886-0059
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02314800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist