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NPI Code Detail

MEDICARE: DAVID HUANG MD

MEDICARE: DAVID HUANG MD
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
12085R0001XRadiation Oncology PhysicianA64100CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4CE7706OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A641000OTHERCABLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37228429OTHERCAAETNA

General Provider Information

NPI Number : 1154325652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID HUANG MD
Provider Business Mailing Address
First Line : 94 OLD SHORT HILLS ROAD
Second Line : RADIATION ONCOLOGY
City : LIVINGSTON
State : NJ
Zip : 07039
Country : US
Telephone Number : 973-322-5630
Fax Number : 973-322-5648
Provider Business Practice Location Address
First Line : 1225 WILSHIRE BLVD
Second Line : DEPARTMENT OF RADIATION ONCOLOGY
City : LOS ANGELES
State : CA
Zip : 90017-1901
Country : US
Telephone Number : 213-977-2360
Fax Number : 310-943-2703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 02/04/2021

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