Healthcare Provider Details

I. General information

NPI: 1306112651
Provider Name (Legal Business Name): CHENYEH HUANG RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 03/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MASSACHUSETTS AVE NW APT 420
WASHINGTON DC
20001-2680
US

IV. Provider business mailing address

300 MASSACHUSETTS AVE NW APT 420
WASHINGTON DC
20001-2680
US

V. Phone/Fax

Practice location:
  • Phone: 551-265-9260
  • Fax:
Mailing address:
  • Phone: 551-265-9260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03285400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: