Provider Demographics
NPI:1609942952
Name:HUANG, KUEI-HUANG (MD)
Entity Type:Individual
Prefix:DR
First Name:KUEI-HUANG
Middle Name:
Last Name:HUANG
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:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-0172
Mailing Address - Country:US
Mailing Address - Phone:973-762-8989
Mailing Address - Fax:973-762-5655
Practice Address - Street 1:111 S ORANGE AVE
Practice Address - Street 2:SUITE 24
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1936
Practice Address - Country:US
Practice Address - Phone:973-762-8989
Practice Address - Fax:973-762-5655
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04517800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHU439089Medicare ID - Type Unspecified
NJC54404Medicare UPIN