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NPI Code Detail

MEDICARE: DR. CHARLOTTE HWA VUONG M.D.

MEDICARE:  DR. CHARLOTTE HWA VUONG  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
1207N00000XDermatology Physician25MA09849100NJ

General Provider Information

NPI Number : 1770823049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLOTTE HWA VUONG M.D.
Provider Business Mailing Address
First Line : 636 MORRIS TPKE
Second Line : SUITE 2H
City : SHORT HILLS
State : NJ
Zip : 07078-2608
Country : US
Telephone Number : 973-232-6245
Fax Number : 973-232-6247
Provider Business Practice Location Address
First Line : 636 MORRIS TPKE
Second Line : SUITE 2H
City : SHORT HILLS
State : NJ
Zip : 07078-2608
Country : US
Telephone Number : 973-232-6245
Fax Number : 973-232-6247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2013
Last Update Date : 01/24/2017

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