Healthcare Provider Details

I. General information

NPI: 1184156051
Provider Name (Legal Business Name): YU-YUN HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 ROUTE 28 STE 2205
RARITAN NJ
08869-1363
US

IV. Provider business mailing address

575 ROUTE 28 STE 2205
RARITAN NJ
08869-1363
US

V. Phone/Fax

Practice location:
  • Phone: 908-725-5530
  • Fax: 908-253-6559
Mailing address:
  • Phone: 89-725-5530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA12349700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: