Healthcare Provider Details

I. General information

NPI: 1548672777
Provider Name (Legal Business Name): LAURA HUANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487 E MOORESTOWN RD STE 104
WIND GAP PA
18091-9683
US

IV. Provider business mailing address

3030 COOKS CREEK RD
RIEGELSVILLE PA
18077-9770
US

V. Phone/Fax

Practice location:
  • Phone: 484-503-7546
  • Fax:
Mailing address:
  • Phone: 908-752-5427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD468358
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: