Healthcare Provider Details

I. General information

NPI: 1205509627
Provider Name (Legal Business Name): MEI CHIAO HUANG PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 07/30/2021
Certification Date: 07/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 HILLSIDE AVE APT 207
BRANFORD CT
06405-3986
US

IV. Provider business mailing address

12 WEBB ST
HAMDEN CT
06517-3923
US

V. Phone/Fax

Practice location:
  • Phone: 203-980-9898
  • Fax:
Mailing address:
  • Phone: 203-514-2314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: