Provider Demographics
NPI:1932603735
Name:HUANG, KEVIN ZACHARY (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ZACHARY
Last Name:HUANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:801 ALBANY ST FL GROUND
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119-2560
Mailing Address - Country:US
Mailing Address - Phone:617-638-7253
Mailing Address - Fax:617-638-6501
Practice Address - Street 1:72 E CONCORD ST # E124
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2307
Practice Address - Country:US
Practice Address - Phone:617-638-6551
Practice Address - Fax:617-638-6501
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2021-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA286440207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine