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NPI Code Detail

MEDICARE: RUJIN HUANG RD,LDN,CDR

MEDICARE:   RUJIN  HUANG  RD,LDN,CDR
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
1133V00000XRegistered DietitianDX5482MD

General Provider Information

NPI Number : 1760147169
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUJIN HUANG RD,LDN,CDR
Provider Business Mailing Address
First Line : 3950 GARDEN CITY DR APT 427
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2396
Country : US
Telephone Number : 646-575-8867
Fax Number :
Provider Business Practice Location Address
First Line : 3950 GARDEN CITY DR APT 427
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2396
Country : US
Telephone Number : 646-575-8867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2021
Last Update Date : 11/01/2021

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Directions to “ RUJIN HUANG RD,LDN,CDR” Practice Location

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