Basic Information
| Provider Information | |||||||||
| NPI: | 1699109884 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YU | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 800713 | ||||||||
| Address2: | DEPARTMENT OF OTOLARYNGOLOGY - HEAD & NECK SURGERY | ||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229080713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349245700 | ||||||||
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| Practice Location | |||||||||
| Address1: | 415 RAY C HUNT DR | ||||||||
| Address2: | SUITE 2200 | ||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229080001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349244700 | ||||||||
| FaxNumber: | 4349241736 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2013 | ||||||||
| LastUpdateDate: | 08/25/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 0116025543 | VA | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.