Healthcare Provider Details

I. General information

NPI: 1083723704
Provider Name (Legal Business Name): HSUAN CHIENE HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 CONGRESSIONAL LANE SUITE 320
ROCKVILLE MD
20852-1542
US

IV. Provider business mailing address

121 CONGRESSIONAL LANE SUITE 320
ROCKVILLE MD
20852-1542
US

V. Phone/Fax

Practice location:
  • Phone: 301-468-6161
  • Fax: 301-340-3970
Mailing address:
  • Phone: 301-468-6161
  • Fax: 301-340-3970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD21520
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: