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NPI Code Detail

MEDICARE: DR. DORIS AMY HUANG M.D.

MEDICARE: DR. DORIS AMY HUANG M.D.
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
1208000000XPediatrics Physician25MA08770600NJ

General Provider Information

NPI Number : 1659684694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DORIS AMY HUANG M.D.
Provider Business Mailing Address
First Line : 324 ELM PL
Second Line :
City : LEONIA
State : NJ
Zip : 07605-1707
Country : US
Telephone Number : 201-944-3742
Fax Number :
Provider Business Practice Location Address
First Line : 338 UNION AVE
Second Line :
City : RUTHERFORD
State : NJ
Zip : 07070-1563
Country : US
Telephone Number : 201-842-0501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2010
Last Update Date : 07/20/2010

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