Provider Demographics
NPI:1922098391
Name:HUANG, CHAU FE (MD)
Entity Type:Individual
Prefix:
First Name:CHAU FE
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 1:475 MORGAN HWY
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18508-2605
Mailing Address - Country:US
Mailing Address - Phone:570-961-2105
Mailing Address - Fax:570-969-4303
Practice Address - Street 1:475 MORGAN HWY
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-2605
Practice Address - Country:US
Practice Address - Phone:570-961-2105
Practice Address - Fax:570-969-4303
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034701L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA146214OtherBLUE SHIELD
PA000691483Medicaid
PA146214OtherBLUE SHIELD
C31785Medicare UPIN