Provider Demographics
NPI:1265740732
Name:MARYANN HUHN-WERNER, MD, LLC
Entity type:Organization
Organization Name:MARYANN HUHN-WERNER, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUHN-WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-317-9922
Mailing Address - Street 1:854 MOUNTAIN AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-2716
Mailing Address - Country:US
Mailing Address - Phone:908-317-9922
Mailing Address - Fax:908-317-9544
Practice Address - Street 1:854 MOUNTAIN AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-2716
Practice Address - Country:US
Practice Address - Phone:908-317-9922
Practice Address - Fax:908-317-9544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-18
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05285400207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty