Healthcare Provider Details

I. General information

NPI: 1619918067
Provider Name (Legal Business Name): EUGENE J. HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GENE J. HUANG MD

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 BALTIMORE ST
GETTYSBURG PA
17325-2625
US

IV. Provider business mailing address

1377 HIGHLAND AVE RD
GETTYSBURG PA
17325
US

V. Phone/Fax

Practice location:
  • Phone: 717-357-8834
  • Fax: 717-337-0340
Mailing address:
  • Phone: 717-357-8834
  • Fax: 717-337-0340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD050609L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: