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NPI Code Detail

MEDICARE: PETER SUWAY HUANG M.D.

MEDICARE: PETER SUWAY HUANG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistA86001CA

General Provider Information

NPI Number : 1144245556
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER SUWAY HUANG M.D.
Provider Business Mailing Address
First Line : 1131 SAN FELIPE RD
Second Line :
City : HOLLISTER
State : CA
Zip : 95023-2800
Country : US
Telephone Number : 831-636-4020
Fax Number : 831-636-4025
Provider Business Practice Location Address
First Line : 1131 SAN FELIPE RD
Second Line :
City : HOLLISTER
State : CA
Zip : 95023-2800
Country : US
Telephone Number : 831-636-4020
Fax Number : 831-636-4025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 03/03/2017

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Directions to “ PETER SUWAY HUANG M.D.” Practice Location

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