Healthcare Provider Details

I. General information

NPI: 1740200096
Provider Name (Legal Business Name): ROBERT D HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/20/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 ROUTE 1 S BLDG B, SUITE 350
ISELIN NJ
08830-3009
US

IV. Provider business mailing address

660 WHITE PLAINS RD STE 400
TARRYTOWN NY
10591-5107
US

V. Phone/Fax

Practice location:
  • Phone: 732-549-3934
  • Fax: 732-549-7250
Mailing address:
  • Phone: 914-333-5801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number25MA05143000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: