Provider Demographics
NPI:1437110897
Name:HWANG, ERICA W (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:W
Last Name:HWANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10215 FERNWOOD RD STE 405
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1191
Mailing Address - Country:US
Mailing Address - Phone:301-941-3660
Mailing Address - Fax:949-440-7528
Practice Address - Street 1:8120 WOODMONT AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2743
Practice Address - Country:US
Practice Address - Phone:301-656-4010
Practice Address - Fax:301-654-2319
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058401207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G61732Medicare UPIN
DC018795B56Medicare PIN