Provider Demographics
NPI:1881864247
Name:HUANG, PAI JUNG (MD,)
Entity Type:Individual
Prefix:DR
First Name:PAI JUNG
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2027
Mailing Address - Country:US
Mailing Address - Phone:781-588-3885
Mailing Address - Fax:
Practice Address - Street 1:12 OLIVE ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2027
Practice Address - Country:US
Practice Address - Phone:781-588-3885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-02
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
MA224292171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty