Provider Demographics
NPI:1649290180
Name:HU, YUANGE (MD)
Entity type:Individual
Prefix:
First Name:YUANGE
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 IMPERIAL CT
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-2163
Mailing Address - Country:US
Mailing Address - Phone:732-693-1317
Mailing Address - Fax:732-521-3098
Practice Address - Street 1:105 OMNI DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4512
Practice Address - Country:US
Practice Address - Phone:732-693-1317
Practice Address - Fax:732-521-3098
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA073158002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH77847Medicare UPIN