Provider Demographics
NPI:1760126064
Name:YANG, BOWEN (DPM)
Entity type:Individual
Prefix:DR
First Name:BOWEN
Middle Name:
Last Name:YANG
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HUDSON ST BSMT
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5630
Mailing Address - Country:US
Mailing Address - Phone:201-659-5222
Mailing Address - Fax:201-659-0847
Practice Address - Street 1:70 HUDSON ST BSMT
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5630
Practice Address - Country:US
Practice Address - Phone:201-659-5222
Practice Address - Fax:201-659-0847
Is Sole Proprietor?:No
Enumeration Date:2022-04-22
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00380500213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery