Healthcare Provider Details

I. General information

NPI: 1871706010
Provider Name (Legal Business Name): DAVID HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6010 BLACK HORSE PIKE
EGG HARBOR TOWNSHIP NJ
08234-9752
US

IV. Provider business mailing address

PO BOX 1086
PLEASANTVILLE NJ
08232-6086
US

V. Phone/Fax

Practice location:
  • Phone: 609-272-0909
  • Fax:
Mailing address:
  • Phone: 609-272-8580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA07994300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number25MA07994300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: