Healthcare Provider Details

I. General information

NPI: 1114098969
Provider Name (Legal Business Name): SHERRY CHU-SING HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRY HUANG CHEUNG

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK NJ
08901-1928
US

IV. Provider business mailing address

3020 CHILDRENS WAY MC5003
SAN DIEGO CA
92123-4223
US

V. Phone/Fax

Practice location:
  • Phone: 732-828-3000
  • Fax:
Mailing address:
  • Phone: 858-309-6300
  • Fax: 858-309-6301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA10996500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License NumberA55009
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number25MA10996500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: