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NPI Code Detail

MEDICARE: MICHAEL HUANG

MEDICARE: MICHAEL HUANG
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1548716004MA
2163W00000XRegistered NurseRN2310529MA

General Provider Information

NPI Number : 1548716004
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL HUANG
Provider Business Mailing Address
First Line : 300 BAKER AVE STE 300
Second Line :
City : CONCORD
State : MA
Zip : 01742-2124
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 BAKER AVE STE 300
Second Line :
City : CONCORD
State : MA
Zip : 01742-2124
Country : US
Telephone Number : 833-351-8255
Fax Number : 888-815-3583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2016
Last Update Date : 10/07/2025

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