MEDICARE: MARIA C 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
1	208000000X	Pediatrics Physician	MD60088271	WA

General Provider Information

NPI Number	:	1861503807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA C HUANG MD

Provider Business Mailing Address
First Line	:	2442 SAPP RD SW
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98512-6238
Country	:	US
Telephone Number	:	360-529-2087
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 BLACK HILLS LN SW STE B2
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-8661
Country	:	US
Telephone Number	:	360-472-2772
Fax Number	:	360-964-3661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/20/2024

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Directions to “ MARIA C HUANG MD” Practice Location

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