Healthcare Provider Details

I. General information

NPI: 1790084473
Provider Name (Legal Business Name): MICHELLE HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 US HIGHWAY 206 STE 2F
HILLSBOROUGH NJ
08844-4781
US

IV. Provider business mailing address

331 US HIGHWAY 206 STE 2F
HILLSBOROUGH NJ
08844-4781
US

V. Phone/Fax

Practice location:
  • Phone: 732-427-8102
  • Fax:
Mailing address:
  • Phone: 732-427-8102
  • Fax: 201-426-8922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA09493300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: