Provider Demographics
NPI:1073504296
Name:HUANG, JULIAN C (MD)
Entity Type:Individual
Prefix:MR
First Name:JULIAN
Middle Name:C
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 NEW DRIFTWAY
Mailing Address - Street 2:STE 201
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-4530
Mailing Address - Country:US
Mailing Address - Phone:781-545-9225
Mailing Address - Fax:781-545-8560
Practice Address - Street 1:10 NEW DRIFTWAY
Practice Address - Street 2:STE 201
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-4530
Practice Address - Country:US
Practice Address - Phone:781-545-9225
Practice Address - Fax:781-545-8560
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA75393208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
400021OtherTUFTS USFHP
075393OtherTUFTS
MAHUJ13434OtherBCBS
355284OtherCIGNA
1030275003OtherUNITED
MA3105334Medicaid
MA201067OtherHPHC
400021OtherTUFTS USFHP
F48921Medicare UPIN