MEDICARE: JUDITH CHE FEN HWANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	G749480	CA

General Provider Information

NPI Number	:	1528043445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH CHE FEN HWANG MD

Provider Business Mailing Address
First Line	:	975 SERENO DR
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	VALLEJO
State	:	CA
Zip	:	94589-2441
Country	:	US
Telephone Number	:	707-651-5339
Fax Number	:	707-651-4437

Provider Business Practice Location Address
First Line	:	975 SERENO DR
Second Line	:	DEPT OF ANESTHESIOLOGY
City	:	VALLEJO
State	:	CA
Zip	:	94589-2441
Country	:	US
Telephone Number	:	707-651-4742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	12/20/2021

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