Provider Demographics
NPI:1619918067
Name:HUANG, EUGENE J (MD)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:J
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GENE
Other - Middle Name:J
Other - Last Name:HUANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1377 HIGHLAND AVE RD
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325
Mailing Address - Country:US
Mailing Address - Phone:717-357-8834
Mailing Address - Fax:717-337-0340
Practice Address - Street 1:312 BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2625
Practice Address - Country:US
Practice Address - Phone:717-357-8834
Practice Address - Fax:717-337-0340
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050609L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1048524OtherCIGNA BEHAVIORAL HEALTH
PA0017664260006Medicaid
PA260049152OtherMEDICARE RAILROAD
PA790091OtherBC/BS OF MD CARE FIRST
PA02061401OtherCAPITAL BLUE CROSS
PA273521OtherMAMSI
PA713823OtherPA BLUE SHIELD
PA148491OtherVALUE OPTIONS
PA790091OtherBC/BS OF MD CARE FIRST
PA636026Medicare PIN
PA02061401OtherCAPITAL BLUE CROSS
PA636026P0TMedicare PIN