Healthcare Provider Details
I. General information
NPI: 1427078179
Provider Name (Legal Business Name): ABBY IRENE HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/19/2006
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
817 LAWN AVE
SELLERSVILLE PA
18960-1579
US
IV. Provider business mailing address
1272 TRESSLER DR
FORT WASHINGTON PA
19034-1728
US
V. Phone/Fax
- Phone: 215-257-8450
- Fax: 215-257-2072
- Phone: 215-654-9679
- Fax: 215-654-0249
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | MD060634E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: