Basic Information
Provider Information
NPI: 1932176732
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YUE
FirstName: DAVID
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2101 EAST JEFFERSON STREET
Address2: SUITE 6W PPQA
City: ROCKVILLE
State: MD
PostalCode: 20852
CountryCode: US
TelephoneNumber: 3018165853
FaxNumber:  
Practice Location
Address1: 655 WATKINS MILL RD
Address2:  
City: GAITHERSBURG
State: MD
PostalCode: 208793301
CountryCode: US
TelephoneNumber: 3018165853
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/01/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XD0070519MDY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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