Healthcare Provider Details

I. General information

NPI: 1871655423
Provider Name (Legal Business Name): GEORGE J HUANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3471 5TH AVE SUITE 801
PITTSBURGH PA
15213-3215
US

IV. Provider business mailing address

200 LOTHROP ST FORBES TOWER, ROOM 9055
PITTSBURGH PA
15213-2536
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-4508
  • Fax:
Mailing address:
  • Phone: 412-647-3087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD434040
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: