Provider Demographics
NPI:1700838166
Name:HUANG, JUN C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JUN
Middle Name:C
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 NEW ROAD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1039
Mailing Address - Country:US
Mailing Address - Phone:609-927-2020
Mailing Address - Fax:609-926-7616
Practice Address - Street 1:2020 NEW ROAD
Practice Address - Street 2:QUALITY EYE ASSOC.LLC
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221
Practice Address - Country:US
Practice Address - Phone:609-927-2020
Practice Address - Fax:609-926-7616
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06345500207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ562398390OtherBLUE CROSS CLUE SHIELD ID
NJ0437138000OtherAMERIHEALTH PROVIDER ID
NJ2K4274OtherHEALTH NET PROVIDER ID
NJ562398390OtherATLANTICARE PROVIDER ID
NJP2988598OtherOXFORD PROVIDER ID
NJ3375601OtherAETNA PROVIDER ID
NJ60001694OtherHORIZON NJ HEALTH ID
NJ7163670009OtherCIGNA PROVIDER ID
NJ8216908Medicaid
NJP00689118OtherRAILROAD MEDICARE
NJ562398390OtherBLUE CROSS CLUE SHIELD ID
NJ8216908Medicaid