Healthcare Provider Details

I. General information

NPI: 1467686162
Provider Name (Legal Business Name): DIANA HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2009
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 COLUMBIA TPKE STE 1A
FLORHAM PARK NJ
07932-2181
US

IV. Provider business mailing address

131 COLUMBIA TPKE STE 1A
FLORHAM PARK NJ
07932-2181
US

V. Phone/Fax

Practice location:
  • Phone: 973-949-1286
  • Fax: 973-949-0108
Mailing address:
  • Phone: 973-949-1286
  • Fax: 973-949-0108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA09251000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: